NICOLE LARISSA MIGNOTT-DAWSON
NPI 1003590977
Family Medicine in Tallahassee, FL

Q: What is Nicole Mignott-dawson's NPI number?

The NPI number for Nicole Mignott-dawson is 1003590977. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Q: What is Nicole Mignott-dawson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 12, 2023PECOS Enrolled

1301 HODGES DR, TALLAHASSEE, FL 32308(850) 431-5430 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Nicole Larissa Mignott-dawson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE LARISSA MIGNOTT-DAWSON (NPI 1003590977) is an individual family medicine provider in Tallahassee, Florida, licensed in Florida (ME180269) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1003590977

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE LARISSA MIGNOTT-DAWSON

Location Address1301 HODGES DRTallahassee, FL 32308-4614

Mailing Address1301 Hodges DrTallahassee, FL 32308-4614 · (850) 431-5430

Phone(850) 431-5430

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 12, 2023

Last NPPES UpdateJune 15, 2026

NPPES CertifiedJune 15, 2026

✔ NPI 1003590977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME180269

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1301 HODGES DR, Tallahassee, FL 32308

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Larissa Mignott-dawson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002260866

PECOS Enrollment IDI20260702002345

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Mignott-dawson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tallahassee Memorial Healthcare Inc

Same address

Family Medicine

1301 HODGES DR
Tallahassee, FL 32308

Reassigned Medicare billing, Florida enrollment
654 clinicians in this Medicare group

NPI 1770647620 (850) 431-3456

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA N HAMMER D.O.

Student in an Organized Health Care Education/Training Program