| North Meridian Medical Services Corporation | |
|
12449 Chimney Lane Tallahassee FL 32312-0961 | |
| (229) 293-0037 | |
| (229) 293-0701 |
| Full Name | North Meridian Medical Services Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 12449 Chimney Lane, Tallahassee, Florida |
| Authorized Official Name and Position | Daniel B Perkins (PHYSICIAN) |
| Authorized Official Contact | 2292930037 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Meridian Medical Services Corporation 12449 Chimney Lane Tallahassee FL 32312-0961 Ph: (229) 293-0037 | North Meridian Medical Services Corporation 12449 Chimney Lane Tallahassee FL 32312-0961 Ph: (229) 293-0037 |
| NPI Number | 1760740237 |
|---|---|
| Provider Enumeration Date | 05/02/2012 |
| Last Update Date | 03/04/2013 |
| Medicare PECOS PAC ID | 2769631456 |
|---|---|
| Medicare Enrollment ID | O20121015000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760740237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME69180 (Florida) | Primary |
| Provider Name | Daniel B Perkins |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124087556 PECOS PAC ID: 2264419548 Enrollment ID: I20050113000588 |
| Provider Name | Inez Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336461912 PECOS PAC ID: 9830227461 Enrollment ID: I20100503000183 |
| Provider Name | Samantha P Noah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982152377 PECOS PAC ID: 7618258187 Enrollment ID: I20161222000071 |
| Provider Name | Michele Richardson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790919348 PECOS PAC ID: 2264670421 Enrollment ID: I20210506001217 |
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