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TALLAHASSEE MEMORIAL HEALTHCARE INC
NPI 1649229402
Clinic/Center - Rural Health in Monticello, FL

Active since May 09, 2006
1549 S JEFFERSON ST, MONTICELLO, FL 32344(850) 997-0707(850) 997-6833 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 28, 2019, Mar 12, 2018 (2 updates tracked since 2018).

About Tallahassee Memorial Healthcare Inc NPPES

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

TALLAHASSEE MEMORIAL HEALTHCARE INC (NPI 1649229402) is a healthcare organization registered as a rural health in Monticello, Florida and active in the NPI registry since May 2006. The organization lists Robin L Moss, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1649229402
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameTALLAHASSEE MEMORIAL HEALTHCARE INC
Location Address1549 S JEFFERSON STMonticello, FL 32344-1651
Mailing Address1607 Saint James Ct Ste 1Tallahassee, FL 32308-5352 · (850) 431-7021 · Fax (850) 431-6975
Phone(850) 997-0707
Fax(850) 997-6833
Organization SubpartNo
Authorized OfficialRobin L MossExecutive Director · (850) 431-6256
Enumeration DateMay 9, 2006
Last NPPES UpdateJanuary 28, 20192 updates tracked since enumeration
✔ NPI 1649229402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedFamily MedicineTaxonomy 207Q00000X
1549 S JEFFERSON ST, Monticello, FL 32344
Open in Google Maps ↗

Other Identifiers 3

Other24766EFL · Bcbs Group Number
Medicaid660037901FL
Medicaid375270408FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Capital Health Plan, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tallahassee Memorial Healthcare Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

646

Medicare enrollment records show 646 clinicians reassign Medicare billing to Tallahassee Memorial Healthcare Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner169
Family Practice103
Internal Medicine63
Diagnostic Radiology50
Emergency Medicine47
Cardiovascular Disease (Cardiology)16
Psychiatry16
General Surgery15
36 other specialties167

Nearest to this location (20)

See all 646
Robert Deem, M.D.
Family Practice
NPI 1619972387
1549 S JEFFERSON
Monticello, FL 32344
(850) 997-0707
✔ PECOS✔ Accepts MedicareSame address
Wesley Scoles, M.D.
Family Practice
NPI 1770549545
1549 SOUTH JEFFERSON STEET
Monticello, FL 32344
(850) 997-0707
✔ PECOS✔ Accepts MedicareSame address
Thomas Zorn, M.D.
Family Practice
NPI 1619236619
302 NORTON DR STE 103
Tallahassee, FL 32308
(850) 702-5940
✔ PECOS✔ Accepts Medicare21 mi
Sarah Ouzts, AGACNP
Nurse Practitioner
NPI 1366003352
2700 WELAUNEE BLVD UNIT 1923
Tallahassee, FL 32308
(229) 977-0978
✔ PECOS✔ Accepts Medicare21 mi
Leo Derosier, MD
Plastic and Reconstructive Surgery
NPI 1043425309
2030 FLEISCHMANN RD
Tallahassee, FL 32308
(850) 219-2000
✔ PECOS21 mi
Laura Martin, MD
Pediatric Medicine
NPI 1356381834
3333 CAPITAL OAKS DR
Tallahassee, FL 32308
(850) 431-4041
✔ PECOS21 mi
Tod Morris, M.D.
Hematology/Oncology
NPI 1730250093
1775 ONE HEALING PL DEPT OF
Tallahassee, FL 32308
(850) 431-5360
✔ PECOS✔ Accepts Medicare22 mi
Cierra Mathis, RDN, LDN, M.ED.
Registered Dietitian or Nutrition Professional
NPI 1164011763
2633 CENTENNIAL BLVD STE 100
Tallahassee, FL 32308
(850) 431-5404
22 mi
Fabiola D'ambrosio, M.D.
Endocrinology
NPI 1720406671
2633 CENTENNIAL BLVD STE 100
Tallahassee, FL 32308
(850) 431-5404
✔ PECOS22 mi
Esther Elphick, M.D.
Psychiatry
NPI 1184834780
2606 CENTENNIAL PL
Tallahassee, FL 32308
(850) 205-0189
✔ PECOS22 mi
Marisa Bolognini
Clinical Social Worker
NPI 1023626041
2600 CENTENNIAL PL STE 200
Tallahassee, FL 32308
(850) 431-5105
✔ PECOS22 mi
Angela Lee, LMHC
Mental Health Counselor
NPI 1386059269
2600 CENTENNIAL PL
Tallahassee, FL 32308
(850) 523-3298
✔ PECOS22 mi
Francisco Carpio, M.D.,
Urology
NPI 1134219348
2619 CENTENNIAL BLVD STE 102
Tallahassee, FL 32308
(850) 431-2875
✔ PECOS✔ Accepts Medicare22 mi
Amulya Konda, M.D.
Gastroenterology
NPI 1932143179
2626 CARE DR STE 206
Tallahassee, FL 32308
(850) 219-2306
✔ PECOS✔ Accepts Medicare22 mi
Tiffany Eisenbach, MD
Neurology
NPI 1801410212
2473 CARE DR STE 102
Tallahassee, FL 32308
(850) 431-5001
✔ PECOS✔ Accepts Medicare22 mi
Timothy Bolek
Radiation Oncology
NPI 1568460285
2003 CENTRE POINTE BLVD
Tallahassee, FL 32308
(850) 878-2273
✔ PECOS✔ Accepts Medicare22 mi
John Thabes, M.D.
Pulmonary Disease
NPI 1164447231
2617 MITCHAM DR SUITE 103
Tallahassee, FL 32308
(850) 878-8714
✔ PECOS✔ Accepts Medicare22 mi
Harold Doll, MD
Nephrology
NPI 1093717654
2617 MITCHAM DR STE 102
Tallahassee, FL 32308
(850) 878-1171
✔ PECOS✔ Accepts Medicare22 mi
Farhat Khairallah, M.D.
Cardiac Electrophysiology
NPI 1982603965
2100 CENTERVILLE RD
Tallahassee, FL 32308
(850) 216-0100
✔ PECOS✔ Accepts Medicare23 mi
Siva Krothapalli
Cardiovascular Disease (Cardiology)
NPI 1790913382
2100 CENTERVILLE RD
Tallahassee, FL 32308
(850) 216-0100
✔ PECOS✔ Accepts Medicare23 mi
See all 646 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Memorial Healthcare Inc's NPI number?

The NPI number for Tallahassee Memorial Healthcare Inc is 1649229402. It was assigned to this organization in the NPPES registry on May 9, 2006.

Where is Tallahassee Memorial Healthcare Inc located?

Tallahassee Memorial Healthcare Inc is located at 1549 S Jefferson St, Monticello, FL 32344. The listed phone number is (850) 997-0707.

What is Tallahassee Memorial Healthcare Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Tallahassee Memorial Healthcare Inc enrolled in Medicare?

Yes. Tallahassee Memorial Healthcare Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tallahassee Memorial Healthcare Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 646 clinicians in 44 Medicare specialties reassign their Medicare billing to Tallahassee Memorial Healthcare Inc. 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. The largest specialties are Nurse Practitioner (169), Family Practice (103) and Internal Medicine (63). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tallahassee Memorial Healthcare Inc accept?

Health plans from Capital Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tallahassee Memorial Healthcare Inc 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 Memorial Healthcare Inc was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.