GENERATIONSPAN HEALTHCARE LLC
NPI 1275963662
Nurse Practitioner - Gerontology in Tallahassee, FL

NPI Status: Active since November 21, 2013

Contact Information

400 CAPITAL CIR SE STE 18128
TALLAHASSEE, FL
ZIP 32301
Phone: (850) 264-9070

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  • Organization
  • Nurse Practitioner
  • Gerontology
  • CLIA Number: 10D2068957
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 11-14-2025

About GENERATIONSPAN HEALTHCARE LLC

This page provides the complete NPI Profile along with additional information for Generationspan Healthcare Llc, a provider established in Tallahassee, Florida operating as a Nurse Practitioner, focusing in gerontology . The healthcare provider is registered in the NPI registry with number 1275963662 assigned on November 2013. The practitioner's primary taxonomy code is 363LG0600X with license number 3314182 (FL). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ms. Florence Pedatin Bamgbose Phd Arnp (Ceo)

NPI
1275963662
Provider Name
GENERATIONSPAN HEALTHCARE LLC
Entity Type
Organization
Location Address
400 CAPITAL CIR SE STE 18128 TALLAHASSEE, FL 32301
Location Phone
(850) 264-9070
Mailing Address
6271 WILLIAMS RD TALLAHASSEE, FL 32311
Mailing Phone
(850) 264-9070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-21-2013
Last Update Date
11-21-2013
Code Navigator

A nurse practitioner (NP) like Generationspan Healthcare Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Gerontology

Taxonomy Code
363LG0600X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3314182
License State
FL

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. FLORENCE PEDATIN BAMGBOSE PHD ARNP

Authorized Official Title
CEO
Authorized Official Phone
(850) 264-9070

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
305043200MEDICAID (05)FL 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D2068957
Facility Type
Practitioner Other
Certificate Effective Date
November 15, 2023
Certificate Expiration Date
November 14, 2025
Laboratory Director
FLORENCE P. BAMGBOSE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Generationspan Healthcare Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1275963662, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
6
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 4 + 5 + 1 + 8 + 6 + 6 + 6 + 1 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1275963662.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275963662, enumerated as an "organization" on November 21, 2013.

The provider is located at 400 CAPITAL CIR SE STE 18128 TALLAHASSEE, FL 32301 and the phone number is (850) 264-9070.

Nurse Practitioner with taxonomy code 363LG0600X and a focus in Gerontology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.