NPIMap

Organization Active NPI

Mission Medical Family Practice Inc.

  • Family Medicine Physician
  • Lake City, FL
National Provider Identifier
1669364808
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MISSION MEDICAL FAMILY PRACTICE INC.
Practice address
1283 SW State Road 47 Ste 103
Lake City, FL 32025-0490
Phone
(386) 623-1871
NPI assigned
Jul 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Meghann Williamson, APRNNPI 1316652316
Title
President/ Director
Phone
(386) 271-2993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1283 SW State Road 47 Ste 103
Lake City, FL 32025-0490

Mailing address

1283 SW State Road 47 Ste 103
Lake City, FL 32025-0490
Phone (386) 271-2993

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1753056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1669364808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 SW STATE ROAD 47 STE 103",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250490",
            "telephone_number": "386-271-2993",
            "fax_number": "904-442-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 SW STATE ROAD 47 STE 103",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320250490",
            "telephone_number": "386-623-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MEDICAL FAMILY PRACTICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-21",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "MEGHANN",
        "authorized_official_title_or_position": "PRESIDENT/ DIRECTOR",
        "authorized_official_telephone_number": "386-271-2993",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.