PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A
NPI 1164524039
Family Medicine in Tallahassee, FL

Active since September 02, 2006CLIA 10D0978222 · Waiver
1690 N MONROE ST, TALLAHASSEE, FL 32303(850) 385-2222(850) 385-1844 Get Directions Write a Review

NPPES record last updated: March 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Patients First Lake Ella Medical Center P A NPPES

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

PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A (NPI 1164524039), doing business as Patients First Lake Ella, is a healthcare organization registered as a family medicine in Tallahassee, Florida and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 25, 2027 and lists Andrea Malik Roe, President, as its authorized official.

NPPES Registry Identity

NPI1164524039
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePATIENTS FIRST LAKE ELLA MEDICAL CENTER P A
Location Address1690 N MONROE STTallahassee, FL 32303-5533
Mailing Address1690 N Monroe StTallahassee, FL 32303-5533 · (850) 385-2222 · Fax (770) 626-3791
Fax(850) 385-1844
Organization SubpartNo
Authorized OfficialAndrea Malik RoePresident · (678) 504-6392
Enumeration DateSeptember 2, 2006
Last NPPES UpdateMarch 6, 2026
NPPES CertifiedMarch 6, 2026
NPI 1164524039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1690 N MONROE ST, Tallahassee, FL 32303

Other Names 1

Doing Business AsPatients First Lake Ella

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 10D0978222

Patients First Lake Ella Medical Center, PA · Tallahassee, FL
Active · expires Jul 25, 2027
CLIA Number10D0978222
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2025
Certificate Expiration DateJuly 25, 2027
Laboratory DirectorShiva K. Lakshmin
Laboratory Phone(850) 385-2222
Laboratory LocationPatients First Lake Ella Medical Center, PA1690 N Monroe St, Tallahassee, FL 32303
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Nurse Practitioner (Primary Care)
1690 N MONROE ST
TALLAHASSEE, FL 32303
Nurse Practitioner (Family)
1690 N MONROE ST
TALLAHASSEE, FL 32303
Family Medicine
1690 N MONROE ST
TALLAHASSEE, FL 32303
Nurse Practitioner (Family)
1690 N MONROE ST
TALLAHASSEE, FL 32303
Physician Assistant (Medical)
1690 N MONROE ST
TALLAHASSEE, FL 32303
Nurse Practitioner (Family)
1690 N MONROE ST
TALLAHASSEE, FL 32303
Physician Assistant
1690 N MONROE ST
TALLAHASSEE, FL 32303

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 Patients First Lake Ella Medical Center P A's NPI number?

The NPI number for Patients First Lake Ella Medical Center P A is 1164524039. It was assigned to this organization in the NPPES registry on September 2, 2006. The provider is doing business as Patients First Lake Ella.

Where is Patients First Lake Ella Medical Center P A located?

Patients First Lake Ella Medical Center P A is located at 1690 N Monroe St, Tallahassee, FL 32303. The listed phone number is (850) 385-2222.

What is Patients First Lake Ella Medical Center P A's specialty?

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

Does Patients First Lake Ella Medical Center P A hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0978222) is associated with this NPI, valid through July 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Patients First Lake Ella Medical Center P A accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Oscar Health Maintenance Organization of Florida list Patients First Lake Ella Medical Center P A 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 Patients First Lake Ella Medical Center P A was last updated on March 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.