SHAUN E LAURIE PROFESSIONAL ASSOCIATION
NPI 1396788626
Internal Medicine in Tallahassee, FL
About Shaun E Laurie Professional Association NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUN E LAURIE PROFESSIONAL ASSOCIATION (NPI 1396788626) is a healthcare organization registered as an internal medicine in Tallahassee, Florida and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 24, 2028 and lists Shaun E Laurie, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shaun E Laurie Professional Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Shaun E Laurie Professional Association, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Waiver 10D1050102
Shaun E Laurie MD PA · Tallahassee, FLFrequently 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 Shaun E Laurie Professional Association's NPI number?
The NPI number for Shaun E Laurie Professional Association is 1396788626. It was assigned to this organization in the NPPES registry on June 14, 2006.
Where is Shaun E Laurie Professional Association located?
Shaun E Laurie Professional Association is located at 1628 N Plaza Dr, Tallahassee, FL 32308. The listed phone number is (850) 309-1331.
What is Shaun E Laurie Professional Association's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Shaun E Laurie Professional Association enrolled in Medicare?
Yes. Shaun E Laurie Professional Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shaun E Laurie Professional Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Shaun E Laurie Professional Association, in Internal Medicine and Nurse Practitioner. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Shaun E Laurie Professional Association hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D1050102) is associated with this NPI, valid through January 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Shaun E Laurie Professional Association was last updated on December 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Shaun E Laurie Professional Association · NPI 1396788626
Internal Medicine organization in Tallahassee, Florida. Organization record, active in the CMS NPPES registry since June 14, 2006.
## Identity
- **NPI:** 1396788626 (Entity type: Organization)
- **Enumerated:** June 14, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Shaun Laurie, PRESIDENT
## Practice location
- **Address:** 1628 N PLAZA DR, Tallahassee, FL 32308-2300
- **Phone:** (850) 309-1331 · **Fax:** (850) 309-1332
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 28, 2010
- **Other identifiers:** Medicare ID-Type Unspecified K9254 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1396788626) · Data from the CMS NPPES public registry.