FSU/TMH INTERNAL MEDICINE RESIDENCY PROGRAM
NPI 1740545128
Internal Medicine in Tallahassee, FL

Q: What is Tallahassee Memorial Healthcare Inc's NPI number?

The NPI number for Tallahassee Memorial Healthcare Inc is 1740545128. It was assigned to this organization in the NPPES registry on July 11, 2012. The provider is doing business as Fsu/Tmh Internal Medicine Residency Program.

Q: What is Tallahassee Memorial Healthcare Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 11, 2012

1300 MICCOSUKEE ROAD, INTERNAL MEDICINE RESIDENCY PROGRAM, TALLAHASSEE, FL 32308(850) 431-7900(850) 431-7990 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 28, 2019, Mar 12, 2018, Dec 14, 2015 (3 updates tracked since 2015).

On this page

About Fsu/tmh Internal Medicine Residency Program NPPES

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

FSU/TMH INTERNAL MEDICINE RESIDENCY PROGRAM (NPI 1740545128) is a healthcare organization registered as an internal medicine in Tallahassee, Florida and active in the NPI registry since July 2012. The organization lists George M O'bryant, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740545128

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameTALLAHASSEE MEMORIAL HEALTHCARE INC

Location Address1300 MICCOSUKEE ROAD, INTERNAL MEDICINE RESIDENCY PROGRAMTallahassee, FL 32308-5607

Mailing Address1607 Saint James CtTallahassee, FL 32308-5352 · (850) 431-7021 · Fax (850) 431-6975

Phone(850) 431-7900

Fax(850) 431-7990

Organization SubpartNo

Authorized OfficialGeorge M O'bryantCeo · (850) 431-5380

Enumeration DateJuly 11, 2012

Last NPPES UpdateJanuary 28, 20193 updates tracked since enumeration

✔ NPI 1740545128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · 4080

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1300 MICCOSUKEE ROAD, Tallahassee, FL 32308

Open in Google Maps ↗

Other Names 1

Doing Business AsFsu/tmh Internal Medicine Residency Program

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fsu/tmh Internal Medicine Residency Program is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

645

Medicare enrollment records show 645 clinicians reassign Medicare billing to Fsu/Tmh Internal Medicine Residency Program, which bills Medicare for the services they deliver. Of these, 96 practice at this address and 385 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 44

Nurse Practitioner168

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 645

Shajeea Ajmal, MD

Internal Medicine

NPI 1942430780

1300 MICCOSUKEE RD HOSPITALISTS GROUP
Tallahassee, FL 32308

(850) 431-4556

✔ PECOS✔ Accepts MedicareSame address

Samer Ali, D.O.

Internal Medicine

NPI 1467500223

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-1155

✔ PECOS✔ Accepts MedicareSame address

Nnaemeka Amanze, M.D.

Internal Medicine

NPI 1386692317

1300 MICCOSUKEE RD HOSPITALIST GROUP
Tallahassee, FL 32308

(850) 431-4996

✔ PECOS✔ Accepts MedicareSame address

Sarmed Ashoo, M.D.

Emergency Medicine

NPI 1568428878

1300 MICCOSUKEE RD BIXLER EMERGENCY CENTER
Tallahassee, FL 32308

(850) 431-0756

✔ PECOSSame address

Hannah Barnett

Nurse Practitioner

NPI 1407634298

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-0915

✔ PECOS✔ Accepts MedicareSame address

Jesse Bauer

Emergency Medicine

NPI 1871024117

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-0911

✔ PECOS✔ Accepts MedicareSame address

Cheryl Bell, APRN

Nurse Practitioner

NPI 1831924521

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-1155

✔ PECOS✔ Accepts MedicareSame address

Alicia Bishop, MD

Emergency Medicine

NPI 1285262576

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-0911

✔ PECOS✔ Accepts MedicareSame address

Dmytro Bohuslavskyi, MD

Hospitalist

NPI 1063143832

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-7901

✔ PECOS✔ Accepts MedicareSame address

Sandra Brafford, M.D.

Family Practice

NPI 1386846517

1300 MICCOSUKEE ROAD HOSPITALISTS GROUP
Tallahassee, FL 32308

(850) 431-4996

✔ PECOS✔ Accepts MedicareSame address

Bjiourn Bugayong, APRN

Nurse Practitioner

NPI 1649933714

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-4556

✔ PECOS✔ Accepts MedicareSame address

David Castillo, M.D.

Family Practice

NPI 1114286267

1300 MICCOSUKEE RD HOSPITALISTS GROUP
Tallahassee, FL 32308

(850) 431-4556

✔ PECOS✔ Accepts MedicareSame address

Austin Clark

Hospitalist

NPI 1750022208

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-7901

✔ PECOS✔ Accepts MedicareSame address

Adam Engel, M.D.

Diagnostic Radiology

NPI 1447638606

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-7910

✔ PECOS✔ Accepts MedicareSame address

Yamilette Helline, DO

Family Practice

NPI 1144915901

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-7910

✔ PECOSSame address

Emily Melvin, CNM

Certified Nurse Midwife (CNM)

NPI 1093528598

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-1155

✔ PECOSSame address

Dominika Moscicka, M.D.

Hospitalist

NPI 1659069268

1300 MICCOSUKEE ROAD
Tallahassee, FL 32308

(850) 431-7910

✔ PECOSSame address

Tarvis Peacock, MD

Psychiatry

NPI 1568090785

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-5105

✔ PECOS✔ Accepts MedicareSame address

Prashanth Vennalaganti, MD

Gastroenterology

NPI 1205032612

1300 MICCOSUKEE RD
Tallahassee, FL 32308

(850) 431-1155

✔ PECOS✔ Accepts MedicareSame address

Frank Gredler, M.D.

Cardiovascular Disease (Cardiology)

NPI 1023013661

1300 MEDICAL DR
Tallahassee, FL 32308

(850) 216-0100

✔ PECOS✔ Accepts MedicareSame address

See all 645 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 1740545128. It was assigned to this organization in the NPPES registry on July 11, 2012. The provider is doing business as Fsu/Tmh Internal Medicine Residency Program.

Where is Tallahassee Memorial Healthcare Inc located?

Tallahassee Memorial Healthcare Inc is located at 1300 Miccosukee Road Internal Medicine Residency Program, Tallahassee, FL 32308. The listed phone number is (850) 431-7900.

What is Tallahassee Memorial Healthcare Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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), 645 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 (168), Family Practice (103) and Internal Medicine (63). Of these, 96 practice at this address and 385 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.