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MABLE TAN MD
NPI 1245208420
Internal Medicine in Jacksonville, FL

Active since March 14, 2006PECOS Enrolled
6900 SOUTHPOINT DR N, JACKSONVILLE, FL 32216(904) 470-6900(904) 470-6901 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mable Tan Md NPPES

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

MABLE TAN MD (NPI 1245208420) is an individual internal medicine provider in Jacksonville, Florida, licensed in Florida (ME95051) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245208420
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMABLE TANCredential: MD
Location Address6900 SOUTHPOINT DR NJacksonville, FL 32216-8007
Mailing Address6900 Southpoint Dr NJacksonville, FL 32216-8007 · (904) 470-6900 · Fax (904) 470-6901
Phone(904) 470-6900
Fax(904) 470-6901
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateOctober 27, 2014
✔ NPI 1245208420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME95051
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6900 SOUTHPOINT DR N, Jacksonville, FL 32216
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Other Identifiers 1

Medicare UPING57611

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mable Tan 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

AARON DAVID DEWITT D.O.
General Practice
6900 SOUTHPOINT DR N
JACKSONVILLE, FL 32216
Duval County (904) 470-6900
DAVID W NORRIS OTR/L
Occupational Therapist
6900 SOUTHPOINT DR N
JACKSONVILLE, FL 32216
Duval County (904) 470-6900
DR. JULIE M. LISZKA PH.D.
Psychologist
6900 SOUTHPOINT DR N
JACKSONVILLE, FL 32216
Duval County (904) 470-6900
DR. SARAH LYNN DUFFY-SMITH DPT
Physical Therapist
6900 SOUTHPOINT DR N
JACKSONVILLE, FL 32216
Duval County (904) 470-6900
MS. RENEE T. GUERRIERI LCSW
Social Worker (Clinical)
6900 SOUTHPOINT DR N, JACKSONVILLE VA
JACKSONVILLE, FL 32216
Duval County (904) 470-6900
DR. SHERRY K RICHARDS PH.D.
Psychologist
6900 SOUTHPOINT DR N
JACKSONVILLE, FL 32216
Duval County (904) 471-6900
DR. MADAN SUDARSHANA MOHAN M.D.,
Psychiatry & Neurology (Psychiatry)
6900 SOUTHPOINT DR N
JACKSONVILLE, FL 32216
Duval County (904) 470-6900
MICHELLE MOOREFIELD
Occupational Therapist
6900 SOUTHPOINT DR N
JACKSONVILLE, FL 32216
Duval County (904) 470-6900

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 Mable Tan's NPI number?

The NPI number for Mable Tan is 1245208420. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Mable Tan located?

Mable Tan practices at 6900 Southpoint Dr N, Jacksonville, FL 32216. The listed phone number is (904) 470-6900.

What is Mable Tan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mable Tan enrolled in Medicare?

Yes. Mable Tan is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mable Tan was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.