| Tallahassee Medical Group, Pllc | |
|
1511 Surgeons Drive Suite A Tallahassee FL 32308 | |
| (850) 878-6134 | |
| (850) 309-0354 |
| Full Name | Tallahassee Medical Group, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1511 Surgeons Drive, Tallahassee, Florida |
| Authorized Official Name and Position | Hugh Vanlandingham (MGR) |
| Authorized Official Contact | 8508786134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Medical Group, Pllc 1511 Surgeons Drive Suite A Tallahassee FL 32308 Ph: (850) 878-6134 | Tallahassee Medical Group, Pllc 1511 Surgeons Drive Suite A Tallahassee FL 32308 Ph: (850) 878-6134 |
| NPI Number | 1972265130 |
|---|---|
| Provider Enumeration Date | 10/06/2021 |
| Last Update Date | 10/06/2021 |
| Medicare PECOS PAC ID | 7214321736 |
|---|---|
| Medicare Enrollment ID | O20220228000692 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972265130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Paul F Hartsfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912109166 PECOS PAC ID: 0941365274 Enrollment ID: I20090219000436 |
| Provider Name | Gary E Winchester |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831107176 PECOS PAC ID: 8820144165 Enrollment ID: I20100218000204 |
| Provider Name | Hugh E Vanlandingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326056706 PECOS PAC ID: 1355477498 Enrollment ID: I20100329000620 |
| Provider Name | Cody A Vanlandingham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417124744 PECOS PAC ID: 9537347141 Enrollment ID: I20110630000494 |
| Provider Name | Thomas A Zorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619236619 PECOS PAC ID: 7911122445 Enrollment ID: I20150715000071 |
| Provider Name | Edwin J Perry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295260578 PECOS PAC ID: 5092086512 Enrollment ID: I20200625000122 |
| Provider Name | Amanda L Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063121689 PECOS PAC ID: 8527439330 Enrollment ID: I20230113000567 |
| Provider Name | Micah Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235599671 PECOS PAC ID: 6608238522 Enrollment ID: I20230809002619 |
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