GARCIA MEDICAL CLINIC LLC – Clinic/Center, NPI 1407971922

GARCIA MEDICAL CLINIC LLC is a healthcare provider. based in Defuniak springs, Florida. specializing in Clinic/Center. The organization holds a License No. ME59559 (FL). The NPI Number for GARCIA MEDICAL CLINIC LLC is 1407971922

Main info

Organization
Name
GARCIA MEDICAL CLINIC LLC
NPI
1407971922
Phone
(850) 892-4791
Address
411 E NELSON AVE
Authorized Official
MR. RUBEN RUIZ GARCIA JR. PHYSICIAN/OWNER M.D.
Enumeration Date
21 March 2007
Last Update Date
19 June 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for GARCIA MEDICAL CLINIC LLC

  • 411 E NELSON AVE

    DEFUNIAK SPRINGS, FL 324337444

    Phone: (850) 892-4791

    Fax: (850) 892-3868

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (343 days ago).

Enrollment records

2

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20070803000114ORural Health ClinicFL2025-06-30
O20080616000056OClinic/Group PracticeFLTBD

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32433)

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Reviews

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Frequently asked questions

What federal number belongs to GARCIA MEDICAL CLINIC LLC?
The federal identifier for GARCIA MEDICAL CLINIC LLC is NPI 1407971922.
Does this profile mean GARCIA MEDICAL CLINIC LLC is currently active?
Yes — GARCIA MEDICAL CLINIC LLC appears active in the national provider directory.
Does GARCIA MEDICAL CLINIC LLC list a primary specialty?
If you are matching referrals, note Clinic/Center for GARCIA MEDICAL CLINIC LLC. Clinical services aligned with this taxonomy classification.
What location shows for GARCIA MEDICAL CLINIC LLC?
We surface Defuniak Springs, Florida for GARCIA MEDICAL CLINIC LLC based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Organization.

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