Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carroll Clayton Matthews

Individual provider Nurse Practitioner · NPI 1154160042

Carroll Clayton Matthews is a Nurse Practitioner in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2024.

Licensed in
FL
In the registry since
2024

Practice location Address checks out

484 SW Commerce Dr Ste 101
Lake City, FL 32025-1508
Phone: (386) 406-2577
Fax: (855) 618-2462
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 9219632 (FL)

Record details

NPI number1154160042
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 21, 2024
Last updated in NPPESMay 21, 2024
Certification dateMay 21, 2024

Other providers in Lake City