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

NPI Status: Active since September 02, 2006

Contact Information

1690 N MONROE ST
TALLAHASSEE, FL
ZIP 32303
Phone: (850) 385-2222
Fax: (850) 385-1844

Get Directions Write a Review

  • Organization
  • Family Medicine
  • Accepts Insurance
  • CLIA Number: 10D0978222
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-25-2027

About PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A

This page provides the complete NPI Profile along with additional information for Patients First Lake Ella Medical Center P A, a primary care provider established in Tallahassee, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1164524039 assigned on September 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated March 2026. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's . The authorized official of this NPI record is Andrea Malik Roe (President)

NPI
1164524039
Provider Legal Name
PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1690 N MONROE ST TALLAHASSEE, FL 32303
Location Phone
(850) 385-2222
Location Fax
(850) 385-1844
Mailing Address
1690 N MONROE ST TALLAHASSEE, FL 32303
Mailing Phone
(850) 385-2222
Mailing Fax
(850) 385-1844
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-02-2006
Last Update Date
03-06-2026
Code Navigator

A primary care provider (PCP) like Patients First Lake Ella Medical Center P A sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
  • BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-06 (Rewards) - PPO
  • BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards) - PPO
  • BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards) - PPO
  • BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-03 ($10 Labs / Rewards) - PPO
  • BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards) - PPO
  • BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards) - PPO
  • Bronze Classic 4700 - HMO
  • Bronze Classic 4700 | with AdventHealth - HMO
  • Bronze Classic Standard - HMO
  • Bronze Classic Standard | with AdventHealth - HMO
  • Bronze Elite + PCP Saver Plus - HMO
  • Bronze Elite + PCP Saver Plus | with AdventHealth - HMO
  • Bronze Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Bronze Simple Chronic Care CKM - HMO
  • Bronze Simple Diabetes - HMO
  • Gold Classic Standard - HMO
  • Gold Classic Standard | with AdventHealth - HMO
  • Gold Elite Saver Plus | with AdventHealth - HMO
  • Gold Simple - HMO
  • Gold Simple | with AdventHealth - HMO
  • Silver Classic Standard - HMO
  • Silver Classic Standard | with AdventHealth - HMO
  • Silver Elite - HMO
  • Silver Elite | with AdventHealth - HMO
  • Silver Simple Breathe Easy with Enhanced COPD Benefits - HMO
  • Silver Simple Chronic Care CKM - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDREA MALIK ROE

Authorized Official Title
PRESIDENT
Authorized Official Phone
(678) 504-6392

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0978222
Facility Type
Physician Office
Certificate Effective Date
July 26, 2025
Certificate Expiration Date
July 25, 2027
Laboratory Director
SHIVA K. LAKSHMIN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Patients First Lake Ella Medical Center P A to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for PATIENTS FIRST LAKE ELLA MEDICAL CENTER P A

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164524039, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 4 → 8 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 0 + 2 + 8 + 0 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1164524039.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164524039, enumerated as an "organization" on September 02, 2006.

The provider is located at 1690 N MONROE ST TALLAHASSEE, FL 32303 and the phone number is (850) 385-2222.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Florida Blue (BlueCross BlueShield FL) and Oscar. Please consult your insurance carrier or call the provider to verify.