Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. JONATHAN PICCOLO MD
NPI 1497450506
Student in an Organized Health Care Education/Training Program in Tallahassee, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 31, 2023PECOS Enrolled

1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308(850) 431-8261(850) 431-5563 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 17, 2026, Mar 22, 2025, Mar 31, 2023 (3 updates tracked since 2023).

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About Dr. Jonathan Piccolo Md NPPES

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

DR. JONATHAN PICCOLO MD (NPI 1497450506) is an individual student in an organized health care education/training program in Tallahassee, Florida and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497450506

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JONATHAN PICCOLOCredential: MD

Location Address1300 MICCOSUKEE RDTallahassee, FL 32308-5054

Mailing Address1300 Miccosukee RdTallahassee, FL 32308-5054 · (850) 431-8261 · Fax (850) 431-5563

Phone(850) 431-8261

Fax(850) 431-5563

Sole ProprietorYes

Enumeration DateMarch 31, 2023

Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1497450506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1300 MICCOSUKEE RD, Tallahassee, FL 32308

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jonathan Piccolo 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.