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TALLAHASSEE ENHANCED CARE PA
NPI 1144788332
Internal Medicine in Tallahassee, FL

Active since March 06, 2019CLIA 10D2303621 · Waiver
4012 KELCEY CT STE 203, TALLAHASSEE, FL 32308(850) 354-8387(850) 329-7878 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2019, Mar 18, 2019, Mar 6, 2019 (3 updates tracked since 2019).

About Tallahassee Enhanced Care Pa NPPES

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

TALLAHASSEE ENHANCED CARE PA (NPI 1144788332) is a healthcare organization registered as an internal medicine in Tallahassee, Florida and active in the NPI registry since March 2019. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Marino Martinez, President, as its authorized official.

NPPES Registry Identity

NPI1144788332
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTALLAHASSEE ENHANCED CARE PA
Location Address4012 KELCEY CT STE 203Tallahassee, FL 32308-5986
Mailing Address4012 Kelcey Ct Ste 203Tallahassee, FL 32308-5986 · (850) 354-8387 · Fax (850) 329-7878
Phone(850) 354-8387
Fax(850) 329-7878
Organization SubpartNo
Authorized OfficialMarino MartinezPresident · (850) 354-8387
Enumeration DateMarch 6, 2019
Last NPPES UpdateOctober 23, 20193 updates tracked since enumeration
✔ NPI 1144788332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4012 KELCEY CT STE 203, Tallahassee, FL 32308
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Other Identifiers 1

OtherME110239FL · Fl License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Capital Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tallahassee Enhanced Care Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Tallahassee Enhanced Care PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Marino Martinez Vargas, M.D.
Internal Medicine
NPI 1750680856
4012 KELCEY CT STE 203
Tallahassee, FL 32308
(850) 354-8387
✔ PECOS✔ Accepts MedicareSame address
Christina Slotter, APRN
Nurse Practitioner
NPI 1396339222
4012 KELCEY CT STE 203
Tallahassee, FL 32308
(850) 354-8387
✔ PECOS✔ Accepts MedicareSame address
Yolanda Forman-Payton, APRN
Nurse Practitioner
NPI 1932099710
4012 KELCEY CT STE 203
Tallahassee, FL 32308
(850) 354-8387
✔ PECOS✔ Accepts MedicareSame address
Shivani Patel
Nurse Practitioner
NPI 1609660018
4012 KELCEY CT STE 203
Tallahassee, FL 32308
(850) 354-8387
✔ PECOS✔ Accepts MedicareSame address

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

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 10D2303621

Tallahassee Enhanced Care PA · Crawfordville, FL
Active · expires Apr 28, 2028
CLIA Number10D2303621
Laboratory TypePhysician Office
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorMarino Martinez
Laboratory Phone(850) 354-8387
Laboratory LocationTallahassee Enhanced Care PA53 Songbird Ave, Crawfordville, FL 32327
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Enhanced Care PA's NPI number?

The NPI number for Tallahassee Enhanced Care PA is 1144788332. It was assigned to this organization in the NPPES registry on March 6, 2019.

Where is Tallahassee Enhanced Care PA located?

Tallahassee Enhanced Care PA is located at 4012 Kelcey Ct Ste 203, Tallahassee, FL 32308. The listed phone number is (850) 354-8387.

What is Tallahassee Enhanced Care PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tallahassee Enhanced Care PA enrolled in Medicare?

Yes. Tallahassee Enhanced Care PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tallahassee Enhanced Care PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Tallahassee Enhanced Care PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tallahassee Enhanced Care PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2303621) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tallahassee Enhanced Care PA accept?

Health plans from Ambetter Health, Ambetter of Alabama and Capital Health Plan list Tallahassee Enhanced Care PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tallahassee Enhanced Care PA was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.