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TALLAHASSEE ORTHOPEDIC CLINIC III, P.L.
NPI 1043074644
Clinic/Center - Medical Specialty in Panama City, FL

Active since February 13, 2024CLIA 10D2279561 · Waiver
2011 HARRISON AVE, PANAMA CITY, FL 32405(850) 691-4188(833) 687-1451 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tallahassee Orthopedic Clinic Iii, P.l. NPPES

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

TALLAHASSEE ORTHOPEDIC CLINIC III, P.L. (NPI 1043074644), doing business as Tallahassee Orthopedic Clinic, is a healthcare organization registered as a medical specialty in Panama City, Florida and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through April 3, 2027 and lists Allison Powell, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1043074644
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTALLAHASSEE ORTHOPEDIC CLINIC III, P.L.
Location Address2011 HARRISON AVEPanama City, FL 32405-4545
Mailing Address3334 Capital Medical Blvd Ste 400Tallahassee, FL 32308-4470 · (850) 877-8174 · Fax (844) 261-6839
Phone(850) 691-4188
Fax(833) 687-1451
Organization SubpartNo
Authorized OfficialAllison PowellCredentialing Specialist · (850) 877-8174
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1043074644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2011 HARRISON AVE, Panama City, FL 32405
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Other Names 1

Doing Business AsTallahassee Orthopedic Clinic

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2279561

Tallahassee Orthopedic Clinic III, Pl · Panama City, FL
Active · expires Apr 3, 2027
CLIA Number10D2279561
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorAndrew H. Borom
Laboratory Phone(850) 817-8174
Laboratory LocationTallahassee Orthopedic Clinic III, Pl2011 Harrison Ave, Panama City, FL 32405
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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.

CHRISTINA ROXANNE GUZMAN PA-C
Physician Assistant (Medical)
2011 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 691-4188
MRS. KIMBERLY LYNN MENDOZA PA-C
Physician Assistant
2011 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 691-4188
KRISTEN NICOLE BRAMLET PA
Physician Assistant (Surgical)
2011 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 691-4188
CHRISTY ESTELLE ASTORGA
Physical Therapist
2011 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 691-4188
DR. TY PETERSON DPT
Physical Therapist
2011 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 691-4188
TALLAHASSEE ORTHOPEDIC CLINIC III PL
Clinic/Center (Physical Therapy)
2011 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 691-4188
THOMAS HARBIN PA-C
Physician Assistant
2011 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 877-8174
GWEN R KADY PT
Physical Therapist
2011 HARRISON AVE
PANAMA CITY, FL 32405
Bay County (850) 769-3261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tallahassee Orthopedic Clinic III, P.L.'s NPI number?

The NPI number for Tallahassee Orthopedic Clinic III, P.L. is 1043074644. It was assigned to this organization in the NPPES registry on February 13, 2024. The provider is doing business as Tallahassee Orthopedic Clinic.

Where is Tallahassee Orthopedic Clinic III, P.L. located?

Tallahassee Orthopedic Clinic III, P.L. is located at 2011 Harrison Ave, Panama City, FL 32405. The listed phone number is (850) 691-4188.

What is Tallahassee Orthopedic Clinic III, P.L.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Tallahassee Orthopedic Clinic III, P.L. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2279561) is associated with this NPI, valid through April 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tallahassee Orthopedic Clinic III, P.L. was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.