DIGESTIVE DISEASE CLINIC
NPI 1871549998
Internal Medicine - Gastroenterology in Tallahassee, FL

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RG0100X and a focus in Gastroenterology.

Active since May 26, 2006CLIA 10D0270132 · Certificate of Compliance

2400 MICCOSUKEE RD, TALLAHASSEE, FL 32308(850) 877-2105(850) 216-1321 Get Directions Write a Review

NPPES record last updated: January 12, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Digestive Disease Clinic NPPES

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

DIGESTIVE DISEASE CLINIC (NPI 1871549998) is a healthcare organization registered as a gastroenterology in Tallahassee, Florida and active in the NPI registry since May 2006. The organization holds a CLIA Certificate of Compliance certificate valid through September 30, 2026 and lists Charlotte L Madani, Business Office Manager, as its authorized official.

NPPES Registry Identity

NPI1871549998

Entity TypeOrganization

Primary Taxonomy207RG0100X

Legal Business NameSTOCKWELL REISMAN PAULK & TAYLOR PA

Location Address2400 MICCOSUKEE RDTallahassee, FL 32308-5314

Mailing Address2400 Miccosukee RdTallahassee, FL 32308-5314 · (850) 877-2105 · Fax (850) 216-1321

Phone(850) 877-2105

Fax(850) 216-1321

Organization SubpartNo

Authorized OfficialCharlotte L MadaniBusiness Office Manager · (850) 205-8404

Enumeration DateMay 26, 2006

Last NPPES UpdateJanuary 12, 2010

✔ NPI 1871549998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

2400 MICCOSUKEE RD, Tallahassee, FL 32308

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Other Names 1

Doing Business AsDigestive Disease Clinic

Other Identifiers 2

Medicare ID-Type Unspecified24282FL · Medicare Group Number

Medicaid374312800FL

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 Florida Blue (BlueCross BlueShield FL).Insurance ›

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 10D0270132
Facility Type: Physician Office
Certificate Effective Date: October 01, 2024
Certificate Expiration Date: September 30, 2026
Laboratory Director: JOSE I. DIAZ
Certificate Type: Certificate of Compliance
Certificate Type Description: This CLIA certificate is issued to Digestive Disease Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.