1. Home
  2. Directory
  3. Florida
  4. Tallahassee
  5. Obstetrics Gynecology
  6. NPI Profile

PREMIER UROGYNECOLOGY OF TALLAHASSEE
NPI 1992468482
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in Tallahassee, FL

Active since October 21, 2021
1963 VILLAGE GREEN WAY, TALLAHASSEE, FL 32308(229) 502-9788 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Premier Urogynecology Of Tallahassee NPPES

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

PREMIER UROGYNECOLOGY OF TALLAHASSEE (NPI 1992468482) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Tallahassee, Florida and active in the NPI registry since October 2021. The organization lists Sandra Jordan, Provider Enrollment Coordinator, as its authorized official.

NPPES Registry Identity

NPI1992468482
Entity TypeOrganization
Primary Taxonomy207VF0040X
Legal Business NamePREMIER UROGYNECOLOGY OF TALLAHASSEE
Location Address1963 VILLAGE GREEN WAYTallahassee, FL 32308-3833
Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 891-9131
Phone(229) 502-9788
Organization SubpartNo
Authorized OfficialSandra JordanProvider Enrollment Coordinator · (229) 891-9131
Enumeration DateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1992468482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207VF0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
1963 VILLAGE GREEN WAY, Tallahassee, FL 32308
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

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

STERLING GYNECOLOGIC ONCOLOGY OF TALLAHASSEE
Obstetrics & Gynecology (Gynecologic Oncology)
1963 VILLAGE GREEN WAY
TALLAHASSEE, FL 32308
Leon County (229) 502-9611

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 Premier Urogynecology Of Tallahassee's NPI number?

The NPI number for Premier Urogynecology Of Tallahassee is 1992468482. It was assigned to this organization in the NPPES registry on October 21, 2021.

Where is Premier Urogynecology Of Tallahassee located?

Premier Urogynecology Of Tallahassee is located at 1963 Village Green Way, Tallahassee, FL 32308. The listed phone number is (229) 502-9788.

What is Premier Urogynecology Of Tallahassee's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

When was this NPI record last updated?

The NPPES record for Premier Urogynecology Of Tallahassee was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.