Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CENTENNIAL MEDICAL PRACTICE PC
NPI 1174333975
Family Medicine in Tallahassee, FL

Q: 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.

Q: What is Centennial Medical Practice PC's specialty?

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

Active since January 13, 2025

1201 HAYS ST, TALLAHASSEE, FL 32301(307) 840-9834(833) 450-0933 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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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

NPI1174333975

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameCENTENNIAL MEDICAL PRACTICE PC

Location Address1201 HAYS STTallahassee, FL 32301-2699

Mailing Address1743 Sidewinder Dr Unit 114Park City, UT 84060-7322 · (307) 840-9834 · Fax (833) 450-0933

Phone(307) 840-9834

Fax(833) 450-0933

Organization SubpartNo

Authorized OfficialPallabi Sanyal-deyPresident · (617) 256-3472

Enumeration DateJanuary 13, 2025

Last NPPES UpdateSeptember 22, 2026

NPPES CertifiedSeptember 22, 2026

✔ NPI 1174333975 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.

1201 HAYS ST, Tallahassee, FL 32301

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Secondary Practice Locations 2

Location 133 E Main St Ste 610Madison, WI 53703-4655 · Phone (307) 840-9834 · Fax (833) 450-0933

Location 2100 Shockoe Slip Fl 2Richmond, VA 23219-4100 · Phone (307) 840-9834 · Fax (833) 450-0933

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

Other Providers at the Same Location NPPES 16

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

AMBER PIERCE

Counselor (Mental Health)