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PATIENTS FIRST MAHAN MEDICAL CENTER, PA
NPI 1659571479
Family Medicine in Tallahassee, FL

Active since July 19, 2007CLIA 10D2158613 · Waiver
1705 MAHAN DR, TALLAHASSEE, FL 32308(850) 877-7164(850) 656-1391 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Patients First Mahan Medical Center, Pa NPPES

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

PATIENTS FIRST MAHAN MEDICAL CENTER, PA (NPI 1659571479) is a healthcare organization registered as a family medicine in Tallahassee, Florida and active in the NPI registry since July 2007. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Fredrick B. Lutz Iii, President, as its authorized official.

NPPES Registry Identity

NPI1659571479
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePATIENTS FIRST MAHAN MEDICAL CENTER, PA
Location Address1705 MAHAN DRTallahassee, FL 32308-5201
Mailing Address1705 Mahan DrTallahassee, FL 32308-5201 · (850) 877-7164 · Fax (850) 656-1391
Phone(850) 877-7164
Fax(850) 656-1391
Organization SubpartNo
Authorized OfficialFredrick B. Lutz IiiPresident · (850) 877-7164
Enumeration DateJuly 19, 2007
Last NPPES UpdateMay 7, 2015
✔ NPI 1659571479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1705 MAHAN DR, Tallahassee, FL 32308
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Other Identifiers 1

OtherAH366FL · Medicare Ptan

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

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 10D2158613

Patients First Lake Ella Medical Center, PA · Tallahassee, FL
Active · expires Dec 2, 2026
CLIA Number10D2158613
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorShiva K. Lakshmin
Laboratory Phone(850) 877-7164
Laboratory LocationPatients First Lake Ella Medical Center, PA1705 Mahan Dr, Tallahassee, FL 32308
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MAHAN MEDICAL
Internal Medicine (Critical Care Medicine)
1705 MAHAN DR
TALLAHASSEE, FL 32308
Leon County (850) 877-7164

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 Patients First Mahan Medical Center, PA's NPI number?

The NPI number for Patients First Mahan Medical Center, PA is 1659571479. It was assigned to this organization in the NPPES registry on July 19, 2007.

Where is Patients First Mahan Medical Center, PA located?

Patients First Mahan Medical Center, PA is located at 1705 Mahan Dr, Tallahassee, FL 32308. The listed phone number is (850) 877-7164.

What is Patients First Mahan Medical Center, PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Patients First Mahan Medical Center, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2158613) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Patients First Mahan Medical Center, PA was last updated on May 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.