First Care Clinic LLC

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

FIRST CARE CLINIC LLC

Practice address

409 High St
Chattahoochee, FL 32324-1303

Phone

(850) 793-1100

Fax

(850) 793-1102

NPI assigned

Jan 8, 2024

Last updated

Jan 8, 2024By 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

Mr. Brian Christopher Ham, ARNPNPI 1053505909

Title

Owner/Arnp

Phone

(850) 718-7202

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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.

• Brian C Ham, ARNP

  • Adult Health Nurse Practitioner
  • Chattahoochee, FL
  • NPI 1053505909
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1629848908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 HIGH ST",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241303",
            "telephone_number": "850-793-1100",
            "fax_number": "850-793-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 HIGH ST",
            "city": "CHATTAHOOCHEE",
            "state": "FL",
            "postal_code": "323241303",
            "telephone_number": "850-793-1100",
            "fax_number": "850-793-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-07",
        "status": "A",
        "authorized_official_last_name": "HAM",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER/ARNP",
        "authorized_official_telephone_number": "850-718-7202",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ngoc Quang Dong, M.D
• Eileen Teresa Duffy, M.D.
• Natalie Sharonette Dukes, M.ED, RMHI
• Pranee - Emko, M.D.
• Eye Partners, PC (Eye Center South)
• First Response Transport FL LLC
• Florida Department of Children and Families (Florida State Hospital)
• Florida Department of Children and Families (Florida State Hospital-Unit 31)
• Florida Department of Children and Families (Florida State Hospital)
• Florida State Hospital

• Primary Care Nurse Practitioner in Chattahoochee, FL
• Providers in Chattahoochee, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.