TALLAHASSEE EAR, NOSE & THROAT-HEAD & NECK SURGERY, P.A.
NPI 1790797728
Otolaryngology in Tallahassee, FL
About Tallahassee Ear, Nose & Throat-head & Neck Surgery, P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TALLAHASSEE EAR, NOSE & THROAT-HEAD & NECK SURGERY, P.A. (NPI 1790797728) is a healthcare organization registered as an otolaryngology in Tallahassee, Florida and active in the NPI registry since August 2006. The organization lists Kim P. Quackenbush, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
Accepted 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 Ear, Nose & Throat-head & Neck Surgery, P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
14Medicare enrollment records show 14 clinicians reassign Medicare billing to Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 13 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (14)
Tallahassee, FL 32308
Tallahassee, FL 32308
Tallahassee, FL 32308
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 Ear, Nose & Throat-Head & Neck Surgery, P.A.'s NPI number?
The NPI number for Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. is 1790797728. It was assigned to this organization in the NPPES registry on August 11, 2006.
Where is Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. located?
Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. is located at 1405 Centerville Rd Suite 5400, Tallahassee, FL 32308. The listed phone number is (850) 877-0101.
What is Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A.'s specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. enrolled in Medicare?
Yes. Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A.?
According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 3 Medicare specialties reassign their Medicare billing to Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A.. 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 Qualified Audiologist (7), Otolaryngology (6) and Nurse Practitioner (1). Of these, 4 practice at this address and 13 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. accept?
Health plans from Capital Health Plan, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.A. 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 Ear, Nose & Throat-Head & Neck Surgery, P.A. was last updated on August 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Tallahassee Ear, Nose & Throat-Head & Neck Surgery, P.a. · NPI 1790797728
Otolaryngology organization in Tallahassee, Florida. Organization record, active in the CMS NPPES registry since August 11, 2006.
## Identity
- **NPI:** 1790797728 (Entity type: Organization)
- **Enumerated:** August 11, 2006
- **Primary specialty:** Otolaryngology · taxonomy 207Y00000X
- **Organization subpart:** No
- **Authorized official:** Kim Quackenbush, ADMINISTRATOR
## Practice location
- **Address:** 1405 CENTERVILLE RD, SUITE 5400, Tallahassee, FL 32308-4655
- **Phone:** (850) 877-0101 · **Fax:** (850) 877-2750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 14 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Qualified Audiologist (7), Otolaryngology (6), Nurse Practitioner (1); 4 practice at this address and 13 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 12, 2011
- **Other identifiers:** Medicare ID-Type Unspecified 33294 (FL); Other 33294 (FL); Medicaid 054317900 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1790797728) · Data from the CMS NPPES public registry.