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TALLAHASSEE MEMORIAL HEALTHCARE INC
NPI 1770647620
Family Medicine in Tallahassee, FL

Active since December 21, 2006
1301 HODGES DR, TALLAHASSEE, FL 32308(850) 431-3456(850) 431-6403 Get Directions Write a Review

NPPES record last updated: September 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 5, 2024, Jan 28, 2019, Mar 12, 2018 (3 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 1770647620) is a healthcare organization registered as a family medicine in Tallahassee, Florida and active in the NPI registry since December 2006. The organization maintains 2 additional practice locations and lists Robin L Moss, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1770647620
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTALLAHASSEE MEMORIAL HEALTHCARE INC
Location Address1301 HODGES DRTallahassee, FL 32308-4614
Mailing Address1607 Saint James Ct Ste 1Tallahassee, FL 32308-5352 · (850) 431-7021 · Fax (850) 431-6975
Phone(850) 431-3456
Fax(850) 431-6403
Organization SubpartYes
Authorized OfficialRobin L MossExecutive Director · (850) 431-6256
Enumeration DateDecember 21, 2006
Last NPPES UpdateSeptember 5, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 5, 2024
✔ NPI 1770647620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedPediatricsTaxonomy 208000000X
1301 HODGES DR, Tallahassee, FL 32308
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Secondary Practice Locations 2

Location 1178 LaSalle Lefall DrQuincy, FL 32351-5278 · Phone (850) 431-5430
Location 21304 Hodges DrTallahassee, FL 32308-4613 · Phone (850) 431-5430

Other Identifiers 2

Medicaid060409700FL
Other99325FL · Bcbs Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

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, 26 practice at this address and 387 within 10 miles. 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
Maria Andrews, MD
Family Practice
NPI 1447787684
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS✔ Accepts MedicareSame address
Starr Ball, DO
Family Practice
NPI 1205323953
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS✔ Accepts MedicareSame address
Romaine Barrett, MD
Family Practice
NPI 1922520535
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS✔ Accepts MedicareSame address
Gregorie Bupe, MD
Family Practice
NPI 1972952406
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS✔ Accepts MedicareSame address
Garrett Chumney, M.D.
Family Practice
NPI 1871657957
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5741
✔ PECOS✔ Accepts MedicareSame address
Russell Cole, MD
Family Practice
NPI 1881847689
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5714
✔ PECOS✔ Accepts MedicareSame address
Tanya Evers, M.D.
Obstetrics/Gynecology
NPI 1396910196
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5741
✔ PECOS✔ Accepts MedicareSame address
Karen Honn, CNM
Certified Nurse Midwife (CNM)
NPI 1710317094
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOSSame address
Holly Klopfenstein, M.D.
Family Practice
NPI 1023497997
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5714
✔ PECOS✔ Accepts MedicareSame address
Ronald Machado, M.D.
Family Practice
NPI 1982678850
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5714
✔ PECOS✔ Accepts MedicareSame address
Ericka Mapp, M.D.
Family Practice
NPI 1093196339
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5714
✔ PECOS✔ Accepts MedicareSame address
Livia Maruoka Nishi, MD
Obstetrics/Gynecology
NPI 1285262048
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS✔ Accepts MedicareSame address
Daniel Matta, M.D.
Internal Medicine
NPI 1073950200
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS✔ Accepts MedicareSame address
Joseph Mazziotta, M.D.
Family Practice
NPI 1952375974
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5714
✔ PECOS✔ Accepts MedicareSame address
Hillary Midler, MSN-MIDWIFERY
Certified Nurse Midwife (CNM)
NPI 1750895082
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOSSame address
Bryan Robinson, M.D.
Internal Medicine
NPI 1093862252
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5714
✔ PECOS✔ Accepts MedicareSame address
Shakyra Robinson-Prince, CNM
Certified Nurse Midwife (CNM)
NPI 1508641853
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5430
✔ PECOS✔ Accepts MedicareSame address
Dean Watson, M.D.
Internal Medicine
NPI 1912971821
1301 HODGES DR
Tallahassee, FL 32308
(850) 431-5714
✔ PECOSSame address
Miriam Gurniak, CNM ARNP
Certified Nurse Midwife (CNM)
NPI 1942231774
1304 HODGES DR
Tallahassee, FL 32308
(850) 877-5767
✔ PECOSSame address
Kathleen Mckeon, ARNP, CNM
Certified Nurse Midwife (CNM)
NPI 1831274133
1304 HODGES DR
Tallahassee, FL 32308
(850) 431-4500
✔ PECOSSame address
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 1770647620. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Tallahassee Memorial Healthcare Inc located?

Tallahassee Memorial Healthcare Inc is located at 1301 Hodges Dr, Tallahassee, FL 32308. The listed phone number is (850) 431-3456.

What is Tallahassee Memorial Healthcare Inc's specialty?

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

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, 26 practice at this address and 387 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 September 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.