Florida Department of Health

Primary specialty

Public Health or Welfare AgencyTaxonomy code 251K00000X

Legal business name

FLORIDA DEPARTMENT OF HEALTH

Doing business as

Liberty County Health Department

Practice address

10971 NW Spring Street
Bristol, FL 32321-0489

Phone

(850) 643-2292

Fax

(850) 643-2306

NPI assigned

May 27, 2005

Last updated

Sep 3, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Rachel Bryant

Title

Administrator

Phone

(850) 643-2415

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• LIBERTY COUNTY HEALTH DEPARTMENT Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1548263114. Details of each certification follow.

• CCN 101820 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 101820

Legal name

LIBERTY COUNTY HEALTH DEPARTMENT

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jun 18, 2008

Last certification

Jun 18, 2008

Ownership / control type

For profit – corporation

Facility address

10971 NW Spring Street
Bristol, FL 32321

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Florida Department of Health

  dba Hamilton Co HLTH Dept

  • Public Health or Welfare Agency
  • Jasper, FL
  • NPI 1851350409

  Member Of

  NPD member

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jared Shelby Barber, MD

  • Family Medicine Physician
  • Blountstown, FL
  • NPI 1104486588
  Medicare reassignment NPD
• Kerrie Peacock-Preston, PA-C

  • Physician Assistant
  • Jacksonville, FL
  • NPI 1861454126
  Medicare reassignment NPD
• Brooke Revell Sansom, APRN

  • Family Nurse Practitioner
  • Blountstown, FL
  • NPI 1932741840
  Medicare reassignment NPD
• Hannah Moore Howell, APRN

  • Family Nurse Practitioner
  • Aubum, AL
  • NPI 1417673138

  FL

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756857600000",
    "number": "1548263114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10971 NW SPRING ST",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323216917",
            "telephone_number": "850-643-2415",
            "fax_number": "850-643-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10971 NW SPRING STREET",
            "city": "BRISTOL",
            "state": "FL",
            "postal_code": "323210489",
            "telephone_number": "850-643-2292",
            "fax_number": "850-643-2306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "850-643-2415",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "72156",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FQHC",
            "identifier": "10-1820",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027949800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIBERTY COUNTY HEALTH DEPARTMENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Britt Jeppson Day, MS, CCC-SLP
• Kennesse Dew
• Madison Lynn Edwards, MSW
• Demetria Michelle English
• Jennifer Proctor Evans
• Florida Department of Health (Liberty County Health Department)
• Florida Department of Health (Florida Department of Health Liberty County Health Department)
• Tiffany Marie Flowers
• Maggie McCaskill Foran, LCSW
• Sandra Jean Ford, MSN, RN, FNP-BC

• Public Health or Welfare Agency in Bristol, FL
• Providers in Bristol, FL by specialty
• Public Health or Welfare Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.