NPIMap

Organization Active NPI

North Florida Medical Centers Inc

  • Federally Qualified Health Center (FQHC)
  • Wewahitchka, FL
National Provider Identifier
1598769192
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
00000 Issued in FL
Legal business name
NORTH FLORIDA MEDICAL CENTERS INC
Practice address
255 W River Rd
Wewahitchka, FL 32465-4533
Phone
(850) 639-5828
Fax
(850) 639-5536
NPI assigned
Jun 10, 2005
Organization subpart
Yes
Parent organization
NORTH FLORIDA MEDICAL CENTERS, INC.As reported in NPPES

Authorized official

NPPES NPI Registry
Name
Lane Miller Lunn
Title
President/Ceo
Phone
(850) 385-4494

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 21

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Federally qualified health center certification: CCN 101844

Medicare enrollment files
Legal name
NORTH FLORIDA MEDICAL CENTERS INC
Doing business as
WEWAHITCHKA MEDICAL CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jun 11, 1997 in FL
Enrollment address
255 W River Rd
Wewahitchka, FL 32465-4533

All disclosed owners & managing parties 13

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Patrick Williams Individual Corporate DirectorBoard Member May 16, 2002
Johnny Henderson Individual Corporate DirectorBoard Member May 22, 2022
Barbara E Coulthurst Individual Corporate DirectorTreasurer Mar 15, 2001
Benjamin Harriss Individual Corporate DirectorBoard Member Jun 1, 2018
Patricia Tucker Individual Corporate DirectorChair Jun 21, 2021
Stan Johnson Individual Corporate DirectorBoard Member Apr 22, 2021
Victoria R Wiggins Individual Corporate OfficerVP/Cfo Oct 1, 2016
Frank Williams Individual Corporate DirectorVice-Chair Oct 14, 2021
Lane Lunn Individual Corporate OfficerPresident/Ceo Apr 1, 2017
W-2 Managing EmployeePresident/Ceo Apr 1, 2017
Ella Mae Parrish Individual Corporate OfficerChair Apr 22, 2021
Robert Grayson Shepard Individual Corporate DirectorBoard Member Jun 1, 2018
Berta Jean Kemp Individual Corporate Director Jan 18, 1996
Perla Palomo Individual Corporate DirectorSecretary Mar 22, 2023

All facility ownership & control disclosures 1

Medicare enrollment files

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

FacilityTypeRoleSince
North Monroe Medical CenterTallahassee, FL, CCN 681123 Federally qualified health center Operational/Managerial Control Jan 25, 2018

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
O20040102000848 FL Part B Supplier - Clinic/Group Practice 6103737697 Receives reassigned benefits from 21 practitioners
9 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Quincy, FL; Wewahitchka, FL; Tallahassee, FL; Perry, FL; Panacea, FL; Madison, FL; Crestview, FL; Eastpoint, FL…
O20041004000557 FL Part a Provider - Federally Qualified Health Center (FQHC) 6103737697 Practice locations: Wewahitchka, FL

National Provider Directory

National Provider Directory
Tax ID family
J D Carlson (16 organizations share this tax ID)
Part of
J D Carlson

Locations

412 SW Highway 351
Cross City, FL 32628
Phone (352) 498-3349

469 W Base St
Madison, FL 32340
Phone (850) 973-1402

710 W Main St
Mayo, FL 32066
Phone (386) 294-1226

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 00000 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

255 W River Rd
Wewahitchka, FL 32465-4533

Mailing address

2804 Remington Green Cir Ste 2
Tallahassee, FL 32308-1550
Phone (850) 385-4494

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
029568000MedicaidFL
029568020MedicaidFL

Other names 1

NPPES NPI Registry
  • Wewahitchka Medical Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 26, 2026.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1598769192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2804 REMINGTON GREEN CIR STE 2",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323081550",
            "telephone_number": "850-385-4494",
            "fax_number": "850-298-6054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W RIVER RD",
            "city": "WEWAHITCHKA",
            "state": "FL",
            "postal_code": "324654533",
            "telephone_number": "850-639-5828",
            "fax_number": "850-639-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA MEDICAL CENTERS INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH FLORIDA MEDICAL CENTERS, INC.",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "LUNN",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "MILLER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "850-385-4494"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "FL",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029568000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029568020",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wewahitchka Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wewahitchka, FL

Sources for this page

Verify at the official NPI Registry.