TALLAHASSEE NEUROLOGICAL CLINIC PA
NPI 1215103437
Physician Assistant in Tallahassee, FL

Active since May 07, 2008CLIA 10D2302938 · Certificate of Compliance
1401 CENTERVILLE RD, SUITE 300, TALLAHASSEE, FL 32308(850) 878-8121(850) 942-6515 Get Directions Write a Review

NPPES record last updated: January 13, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tallahassee Neurological Clinic Pa NPPES

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

TALLAHASSEE NEUROLOGICAL CLINIC PA (NPI 1215103437) is a healthcare organization registered as a physician assistant in Tallahassee, Florida and active in the NPI registry since May 2008. The organization holds a CLIA Certificate of Compliance certificate valid through October 6, 2027 and lists Annette Wilson, Pa, as its authorized official.

NPPES Registry Identity

NPI1215103437
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameTALLAHASSEE NEUROLOGICAL CLINIC PA
Location Address1401 CENTERVILLE RD, SUITE 300Tallahassee, FL 32308-4647
Mailing Address1401 Centerville Rd, Suite 300Tallahassee, FL 32308-4647 · (850) 878-8121 · Fax (850) 942-6515
Fax(850) 942-6515
Organization SubpartNo
Authorized OfficialAnnette WilsonPa · (850) 878-8121
Enumeration DateMay 7, 2008
Last NPPES UpdateJanuary 13, 2009
NPI 1215103437 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9104317
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1401 CENTERVILLE RD, Tallahassee, FL 32308

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2302938

Tallahassee Neurological Clinic PA · Tallahassee, FL
Active · expires Oct 6, 2027
CLIA Number10D2302938
Laboratory TypePhysician Office
Certificate Effective DateOctober 7, 2025
Certificate Expiration DateOctober 6, 2027
Laboratory DirectorBremansu Osa-Andrews
Laboratory Phone(850) 558-1260
Laboratory LocationTallahassee Neurological Clinic PA1321 Executive Center Drive Suite 100, Tallahassee, FL 32308
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

Specialist
1401 CENTERVILLE RD, SUITE 510
TALLAHASSEE, FL 32308
Obstetrics & Gynecology
1401 CENTERVILLE RD, SUITE 202
TALLAHASSEE, FL 32308
Psychologist (Clinical)
1401 CENTERVILLE RD, SUITE 504
TALLAHASSEE, FL 32308
Ophthalmology
1401 CENTERVILLE RD, SUITE 404
TALLAHASSEE, FL 32308
Obstetrics & Gynecology
1401 CENTERVILLE RD, SUITE 202
TALLAHASSEE, FL 32308
Nurse Practitioner (Family)
1401 CENTERVILLE RD, STE. 300
TALLAHASSEE, FL 32308
Physician Assistant (Medical)
1401 CENTERVILLE RD
TALLAHASSEE, FL 32308
Psychiatry & Neurology (Neurology)
1401 CENTERVILLE RD, SUITE 504
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 Tallahassee Neurological Clinic PA's NPI number?

The NPI number for Tallahassee Neurological Clinic PA is 1215103437. It was assigned to this organization in the NPPES registry on May 7, 2008.

Where is Tallahassee Neurological Clinic PA located?

Tallahassee Neurological Clinic PA is located at 1401 Centerville Rd Suite 300, Tallahassee, FL 32308. The listed phone number is (850) 878-8121.

What is Tallahassee Neurological Clinic PA's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Tallahassee Neurological Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 10D2302938) is associated with this NPI, valid through October 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tallahassee Neurological Clinic PA accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tallahassee Neurological Clinic PA 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 Tallahassee Neurological Clinic PA was last updated on January 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.