DR. JUSTIN MACKENZIE VINING MD
NPI 1184886822
Pediatrics - Pediatric Cardiology in Tallahassee, FL

Active since June 25, 2008PECOS Enrolled
2418 E PLAZA DR, TALLAHASSEE, FL 32308(850) 629-4861(850) 629-4859 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 8, 2025, Mar 7, 2023, Jan 18, 2021 and 2 more (5 updates tracked since 2015).

About Dr. Justin Mackenzie Vining Md NPPES

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

DR. JUSTIN MACKENZIE VINING MD (NPI 1184886822) is an individual pediatric cardiology provider in Tallahassee, Florida, licensed in Florida (ME126004) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184886822
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. JUSTIN MACKENZIE VININGCredential: MD
Location Address2418 E PLAZA DRTallahassee, FL 32308-5301
Mailing AddressPo Box 746645Atlanta, GA 30374-6645 · (904) 202-2092 · Fax (904) 376-4075
Fax(850) 629-4859
Sole ProprietorNo
Enumeration DateJune 25, 2008
Last NPPES UpdateJanuary 8, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2025
✔ NPI 1184886822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
Licenses✔ Licensed in FL · ME126004✔ Licensed in GA · 066664
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 002992 (GA), ME126004 (FL)
2418 E PLAZA DR, Tallahassee, FL 32308

Other Names 1

Other Name (5)Dr. Mac Vining Md

Other Identifiers 1

Other066664Ga Licenses

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Justin Mackenzie Vining Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Justin Vining reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
410 CURRY ST NE
Pelham, GA 31779
  • Reassigned Medicare billing, Georgia enrollment
  • 264 clinicians in this Medicare group
Multi-Specialty
1120 15TH ST
Augusta, GA 30912
  • Reassigned Medicare billing, Georgia enrollment
  • 1,151 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 4

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

Pediatrics (Pediatric Cardiology)
2418 E PLAZA DR
TALLAHASSEE, FL 32308
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2418 E PLAZA DR
TALLAHASSEE, FL 32308
Preventive Medicine (Public Health & General Preventive Medicine)
2418 E PLAZA DR
TALLAHASSEE, FL 32308
Obstetrics & Gynecology
2418 E PLAZA DR
TALLAHASSEE, FL 32308

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 Justin Vining's NPI number?

The NPI number for Justin Vining is 1184886822. It was assigned to this individual provider in the NPPES registry on June 25, 2008. The provider is also known as Dr. Mac Vining MD.

Where is Justin Vining located?

Justin Vining practices at 2418 E Plaza Dr, Tallahassee, FL 32308. The listed phone number is (850) 629-4861.

What is Justin Vining's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Justin Vining enrolled in Medicare?

Yes. Justin Vining is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Justin Vining's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Vining reassigns Medicare benefits to 2 organizations: Phoebe Putney Memorial Hospital, Inc. (Pelham, GA) and Au Medical Associates Inc (Augusta, GA). Each 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 Justin Vining's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Vining accept?

Health plans from Ambetter Health, Ambetter of Alabama, Capital Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Justin Vining 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 Justin Vining was last updated on January 8, 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.