David C Terrell Jr Arnp, PA

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

DAVID C TERRELL JR ARNP, PA

Practice address

4289 NW American LN
Lake City, FL 32055-4881

Phone

(386) 287-2111

Fax

(386) 406-8368

NPI assigned

Jan 21, 2021

Organization subpart

No

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

Authorized official

Name

David Charles Terrell Jr., APRNNPI 1811411754

Title

Aprn

Phone

(386) 287-2111

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• GRACE FAMILY MEDICINE Other name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 5

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

• David Charles Terrell Jr., ARNP

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1811411754
  Medicare reassignment Care Compare group NPD Authorized official
• Roxi Marie Jones, APRN

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1801483714
  Medicare reassignment Care Compare group NPD
• Virginia Ann O Phillips, APRN

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1659099380
  Medicare reassignment Care Compare group NPD
• Ankem Ravindra, MD

  • Internal Medicine Physician
  • Lake City, FL
  • NPI 1427094242
  Medicare reassignment Care Compare group NPD
• Tymber Tatum Terrell, APRN

  • Family Nurse Practitioner
  • Lake City, FL
  • NPI 1861018988

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784419200000",
    "number": "1669062899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4289 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554881",
            "telephone_number": "386-287-2111",
            "fax_number": "386-406-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4289 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554881",
            "telephone_number": "386-287-2111",
            "fax_number": "386-406-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID C TERRELL JR ARNP, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2026-07-19",
        "certification_date": "2026-07-19",
        "status": "A",
        "authorized_official_last_name": "TERRELL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "386-287-2111",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1811411754",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "APRN9330784",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1861018988",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "APRN11007399",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRACE FAMILY MEDICINE",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "GRACE FAMILY MEDICINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jamee Daniels-Hall
• Amanda Nicole Daniels
• Kelly Olivia Daniels
• Yen Margaret Dao Barnes
• Danielle F Darling, PTA
• David F Randolph DMD PA
• David G Fanney, DO PA
• Tracie Lynn David-Dean, RN, BSN
• Andrea Lechele Davis
• Cynthia Suzanne Davis, PTA

• Family Nurse Practitioner in Lake City, FL
• Providers in Lake City, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.