CENTENNIAL MEDICAL PRACTICE PC
NPI 1174333975
Family Medicine in Tallahassee, FL
About Centennial Medical Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTENNIAL MEDICAL PRACTICE PC (NPI 1174333975) is a healthcare organization registered as a family medicine in Tallahassee, Florida and active in the NPI registry since January 2025. The organization maintains 2 additional practice locations and lists Pallabi Sanyal-dey, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centennial Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Centennial Medical Practice PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Centennial Medical Practice PC's NPI number?
The NPI number for Centennial Medical Practice PC is 1174333975. It was assigned to this organization in the NPPES registry on January 13, 2025.
Where is Centennial Medical Practice PC located?
Centennial Medical Practice PC is located at 1201 Hays St, Tallahassee, FL 32301. The listed phone number is (307) 840-9834.
What is Centennial Medical Practice PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Centennial Medical Practice PC enrolled in Medicare?
Yes. Centennial Medical Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Centennial Medical Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Centennial Medical Practice PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Centennial Medical Practice PC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 41 days 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.
# Centennial Medical Practice Pc · NPI 1174333975
Family Medicine organization in Tallahassee, Florida. Organization record, active in the CMS NPPES registry since January 13, 2025.
## Identity
- **NPI:** 1174333975 (Entity type: Organization)
- **Enumerated:** January 13, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Pallabi Sanyal-Dey, PRESIDENT
## Practice location
- **Address:** 1201 HAYS ST, Tallahassee, FL 32301-2699
- **Phone:** (307) 840-9834 · **Fax:** (833) 450-0933
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174333975) · Data from the CMS NPPES public registry.