FSU/TMH GENERAL SURGERY RESIDENCY PROGRAM
NPI 1174888549
Surgery in Tallahassee, FL

Q: What is Tallahassee Memorial Healthcare Inc's NPI number?

The NPI number for Tallahassee Memorial Healthcare Inc is 1174888549. It was assigned to this organization in the NPPES registry on July 11, 2012. The provider is doing business as Fsu/Tmh General Surgery Residency Program and TMHPP Surgical Specialists.

Q: What is Tallahassee Memorial Healthcare Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since July 11, 2012

1401 CENTERVILLE RD, SUITE 100, TALLAHASSEE, FL 32308(850) 877-5183(850) 656-1288 Get Directions Write a Review

NPPES record last updated: January 9, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 9, 2025, May 9, 2019, Jan 28, 2019 and 1 more (4 updates tracked since 2018).

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About Fsu/tmh General Surgery Residency Program NPPES

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

FSU/TMH GENERAL SURGERY RESIDENCY PROGRAM (NPI 1174888549) is a healthcare organization registered as a surgery in Tallahassee, Florida and active in the NPI registry since July 2012. The organization lists Jennifer Parks, President, as its authorized official.

NPPES Registry Identity

NPI1174888549

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameTALLAHASSEE MEMORIAL HEALTHCARE INC

Location Address1401 CENTERVILLE RD, SUITE 100Tallahassee, FL 32308-4647

Mailing Address1607 Saint James Ct Ste 1Tallahassee, FL 32308-5352 · (850) 431-7021 · Fax (850) 431-6975

Phone(850) 877-5183

Fax(850) 656-1288

Organization SubpartNo

Authorized OfficialJennifer ParksPresident · (850) 431-6234

Enumeration DateJuly 11, 2012

Last NPPES UpdateJanuary 9, 20254 updates tracked since enumeration

NPPES CertifiedJanuary 9, 2025

✔ NPI 1174888549 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1401 CENTERVILLE RD, Tallahassee, FL 32308

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Other Names 2

Doing Business AsFsu/tmh General Surgery Residency Program

Doing Business AsTmhpp Surgical Specialists

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fsu/tmh General Surgery Residency Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

645

Medicare enrollment records show 645 clinicians reassign Medicare billing to Fsu/Tmh General Surgery Residency Program, which bills Medicare for the services they deliver. Of these, 26 practice at this address and 385 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner168

Family Practice103

Internal Medicine63

Diagnostic Radiology50

Emergency Medicine47

Cardiovascular Disease (Cardiology)16

Psychiatry16

General Surgery15

36 other specialties167

Nearest to this location (20)

See all 645

Melissa Amundson, DDS

Maxillofacial Surgery

NPI 1689823619

1401 CENTERVILLE RD STE 100
Tallahassee, FL 32308

(850) 877-5183

✔ PECOS✔ Accepts MedicareSame address

John Dortch, M.D

General Surgery

NPI 1114284908

1401 CENTERVILLE RD STE 100
Tallahassee, FL 32308

(850) 431-2100

✔ PECOS✔ Accepts MedicareSame address

Christopher Griggs, D.O.

Vascular Surgery

NPI 1528258357

1401 CENTERVILLE RD STE 504
Tallahassee, FL 32308

(850) 216-0067

✔ PECOS✔ Accepts MedicareSame address

Turkessa Lambert, ARNP

Nurse Practitioner

NPI 1720330715

1401 CENTERVILLE RD STE 600
Tallahassee, FL 32308

(850) 878-8121

✔ PECOS✔ Accepts MedicareSame address

Marvin Rhodes, MD

General Surgery

NPI 1255954707

1401 CENTERVILLE RD STE G02
Tallahassee, FL 32308

(850) 431-2100

✔ PECOS✔ Accepts MedicareSame address

Sabrina Boyatt, APRN

Nurse Practitioner

NPI 1992526008

1401 CENTERVILLE RD STE 504
Tallahassee, FL 32308

(850) 877-1100

✔ PECOS✔ Accepts MedicareSame address

Shelby Blank, MD

General Surgery

NPI 1447299979

1401 CENTERVILLE RD STE G02
Tallahassee, FL 32308

(850) 431-2100

✔ PECOS✔ Accepts MedicareSame address

Jonathan Bussey, NP

Nurse Practitioner

NPI 1750758132

1401 CENTERVILLE RD SUITE 300
Tallahassee, FL 32308

(850) 877-5115

✔ PECOS✔ Accepts MedicareSame address

Miguel Chuquilin, M.D.

Neurology

NPI 1982633251

1401 CENTERVILLE RD STE 504
Tallahassee, FL 32308

(850) 431-5001

✔ PECOS✔ Accepts MedicareSame address

William Dobak, D.O.

Gynecological Oncology

NPI 1851434088

1401 CENTERVILLE RD SUITE 400
Tallahassee, FL 32308

(850) 431-3360

✔ PECOS✔ Accepts MedicareSame address

Kristina Dupler, ARNP

Certified Clinical Nurse Specialist (CNS)

NPI 1871738690

1401 CENTERVILLE RD STE G02
Tallahassee, FL 32308

(850) 431-2100

✔ PECOS✔ Accepts MedicareSame address

Joyce Dwyer, ARNP

Nurse Practitioner

NPI 1356532303

1401 CENTERVILLE ROAD SUITE G02
Tallahassee, FL 32308

(850) 878-8714

✔ PECOSSame address

Jensen Galetta, APRN

Nurse Practitioner

NPI 1902414246

1401 CENTERVILLE RD STE 300
Tallahassee, FL 32308

(850) 877-5115

✔ PECOS✔ Accepts MedicareSame address

Carlton Gass, PH.D.

Clinical Psychologist

NPI 1578672754

1401 CENTERVILLE ROAD SUITE 504
Tallahasee, FL 32308

(850) 431-5037

✔ PECOS✔ Accepts MedicareSame address

David Huang, M.D.

Pulmonary Disease

NPI 1568487759

1401 CENTERVILLE RD SUITE G-02
Tallahassee, FL 32308

(850) 878-8714

✔ PECOS✔ Accepts MedicareSame address

Shane Mcentire, M.D.

Vascular Surgery

NPI 1932224912

1401 CENTERVILLE RD STE 504
Tallahassee, FL 32308

(850) 216-0100

✔ PECOS✔ Accepts MedicareSame address

Allison Moltisanti, PHD

Clinical Psychologist

NPI 1528689320

1401 CENTERVILLE RD STE 504
Tallahassee, FL 32308

(850) 431-1155

✔ PECOS✔ Accepts MedicareSame address

Megan Morrow, M.D.

General Surgery

NPI 1598146789

1401 CENTERVILLE RD STE G02
Tallahassee, FL 32308

(850) 431-2100

✔ PECOS✔ Accepts MedicareSame address

Tim Ruark, MD

General Surgery

NPI 1699877852

1401 CENTERVILLE RD STE G02
Tallahassee, FL 32308

(850) 433-1210

✔ PECOS✔ Accepts MedicareSame address

Cemil Purut, MD

Cardiac Surgery

NPI 1013978279

1405 CENTERVILLE RD STE 5000
Tallahassee, FL 32308

(850) 878-6164

✔ PECOS✔ Accepts MedicareSame address

See all 645 clinicians

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 Tallahassee Memorial Healthcare Inc's NPI number?

The NPI number for Tallahassee Memorial Healthcare Inc is 1174888549. It was assigned to this organization in the NPPES registry on July 11, 2012. The provider is doing business as Fsu/Tmh General Surgery Residency Program and TMHPP Surgical Specialists.

Where is Tallahassee Memorial Healthcare Inc located?

Tallahassee Memorial Healthcare Inc is located at 1401 Centerville Rd Suite 100, Tallahassee, FL 32308. The listed phone number is (850) 877-5183.

What is Tallahassee Memorial Healthcare Inc's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Tallahassee Memorial Healthcare Inc enrolled in Medicare?

Yes. Tallahassee Memorial Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tallahassee Memorial Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 645 clinicians in 44 Medicare specialties reassign their Medicare billing to Tallahassee Memorial Healthcare Inc. 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 (168), Family Practice (103) and Internal Medicine (63). Of these, 26 practice at this address and 385 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tallahassee Memorial Healthcare Inc was last updated on January 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.