Tallahassee Primary Care Associates, Pa | |
1803 Miccosukee Commons Dr Tallahassee FL 32308 | |
(850) 297-0114 | |
(850) 297-0314 |
Full Name | Tallahassee Primary Care Associates, Pa |
---|---|
Speciality | Family Medicine |
Location | 1803 Miccosukee Commons Dr, Tallahassee, Florida |
Authorized Official Name and Position | Thomas G Harrison (CEO) |
Authorized Official Contact | 8502970114 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Tallahassee Primary Care Associates, Pa Po Box 12427 Tallahassee FL 32317-2427 Ph: (850) 297-0114 | Tallahassee Primary Care Associates, Pa 1803 Miccosukee Commons Dr Tallahassee FL 32308 Ph: (850) 297-0114 |
NPI Number | 1972661262 |
---|---|
Provider Enumeration Date | 12/05/2006 |
Last Update Date | 11/11/2010 |
Medicare PECOS PAC ID | 4789581901 |
---|---|
Medicare Enrollment ID | O20031216000696 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972661262 | NPI | - | NPPES |
250951200 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208000000X | Pediatrics | (* (Not Available)) | Secondary |
Provider Name | Gregory D Perry |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1225056054 PECOS PAC ID: 5698736999 Enrollment ID: I20041020000813 |
Provider Name | Madhuri Sankuratri |
---|---|
Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1336237809 PECOS PAC ID: 6406880756 Enrollment ID: I20050926000613 |
Provider Name | Kathryn H Davis |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811936487 PECOS PAC ID: 4587682547 Enrollment ID: I20051108000635 |
Provider Name | Mervin P Wallace |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1346269883 PECOS PAC ID: 5496752727 Enrollment ID: I20061031000078 |
Provider Name | Frank Gredler |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1023013661 PECOS PAC ID: 7618970989 Enrollment ID: I20070911000059 |
Provider Name | Victoria L Smith |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811938442 PECOS PAC ID: 7315037280 Enrollment ID: I20071214000624 |
Provider Name | Lynn Steele |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477542124 PECOS PAC ID: 1355424102 Enrollment ID: I20080216000079 |
Provider Name | Terreze M Gamble |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1861694010 PECOS PAC ID: 1456416783 Enrollment ID: I20090219000377 |
Provider Name | Laura B Rosner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1427085752 PECOS PAC ID: 1254489172 Enrollment ID: I20090504000435 |
Provider Name | Gregory A. Williams |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780692012 PECOS PAC ID: 2860536687 Enrollment ID: I20100217000598 |
Provider Name | Patricia A Hogan |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1922030881 PECOS PAC ID: 2769527498 Enrollment ID: I20100305000762 |
Provider Name | William L Morse |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1205860582 PECOS PAC ID: 3870628415 Enrollment ID: I20100322000029 |
Provider Name | Kristin A Harmon |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1386790905 PECOS PAC ID: 8022102383 Enrollment ID: I20100901000129 |
Provider Name | Pooja N. Patel |
---|---|
Provider Type | Practitioner - Rheumatology |
Provider Identifiers | NPI Number: 1801100821 PECOS PAC ID: 7113199985 Enrollment ID: I20111020000722 |
Provider Name | Sarah E Chipps-walton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477810398 PECOS PAC ID: 8921264888 Enrollment ID: I20120720000139 |
Provider Name | Stephanie Marie Mandell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487983482 PECOS PAC ID: 8022293737 Enrollment ID: I20140304000695 |
Provider Name | Stacia K Groll |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1841584448 PECOS PAC ID: 0446473722 Enrollment ID: I20141113002192 |
Provider Name | Susan Margaret Alvarez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639552888 PECOS PAC ID: 7416264874 Enrollment ID: I20150916003569 |
Provider Name | Ginny C Manalo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205270329 PECOS PAC ID: 5991008609 Enrollment ID: I20170203001097 |
Provider Name | Mary Norton |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1811335904 PECOS PAC ID: 1153555834 Enrollment ID: I20180919003870 |
Provider Name | John Christopher Turner |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1164801932 PECOS PAC ID: 9133434731 Enrollment ID: I20180925001555 |
Provider Name | Christine Crooms |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437617024 PECOS PAC ID: 8820331028 Enrollment ID: I20190509001853 |
Provider Name | Amy Z Gleaton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255967154 PECOS PAC ID: 7719309871 Enrollment ID: I20200617002677 |
Provider Name | Joselyn Leigh Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790300697 PECOS PAC ID: 7416368873 Enrollment ID: I20201116003221 |
Provider Name | Whitney Lynn Lockwood |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063073336 PECOS PAC ID: 8426385618 Enrollment ID: I20210921002179 |
Provider Name | Deanna Rivas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588311252 PECOS PAC ID: 9638565484 Enrollment ID: I20220405001273 |
Provider Name | Sarah E Alton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528790862 PECOS PAC ID: 9032590674 Enrollment ID: I20220713004420 |
Provider Name | Ricardo Bailey |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1750941134 PECOS PAC ID: 8527394063 Enrollment ID: I20220719002211 |
Provider Name | Heather Redfield |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366869091 PECOS PAC ID: 3577786904 Enrollment ID: I20221006002908 |
Provider Name | Annie Smelt |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629770102 PECOS PAC ID: 2961869961 Enrollment ID: I20230607000730 |
Provider Name | William Fleming |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1407318041 PECOS PAC ID: 0547628216 Enrollment ID: I20230628001561 |
Provider Name | Kristine Sutherland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326722778 PECOS PAC ID: 3173982329 Enrollment ID: I20230706000374 |
Provider Name | Emily Salter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225735897 PECOS PAC ID: 0648634741 Enrollment ID: I20230907002651 |
Provider Name | Erin R Ryals |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770367005 PECOS PAC ID: 1759735376 Enrollment ID: I20230929001394 |
Provider Name | Lynndsey K Parker |
---|---|
Provider Type | Practitioner - Pediatric Medicine |
Provider Identifiers | NPI Number: 1275995672 PECOS PAC ID: 9436401155 Enrollment ID: I20231102003432 |
Provider Name | Johenna Grace T Escoro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124890009 PECOS PAC ID: 8527416502 Enrollment ID: I20231201000537 |
Provider Name | Melissa L Cabe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255107587 PECOS PAC ID: 2163875972 Enrollment ID: I20240129002013 |
Provider Name | Shaelynn Flowers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558122788 PECOS PAC ID: 0345683066 Enrollment ID: I20240209002308 |
Healing Hearts Music Therapy, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1862 Newman Ln, Tallahassee, FL 32312 Phone: 229-400-0722 | |
Titan Hospitalist Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2626 Capital Medical Blvd, Tallahassee, FL 32308 Phone: 904-332-4316 Fax: 904-332-4339 | |
Big Bend Hospice, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1723 Mahan Center Blvd, Tallahassee, FL 32308 Phone: 702-960-2272 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Timberlane Rd, Tallahassee, FL 32312 Phone: 844-665-4827 | |
Guidewell Sanitas I, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1415 Timberlane Rd, Tallahassee, FL 32312 Phone: 844-665-4827 | |
Tallahassee Memorial Healthcare Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 Esplanade Way, Tallahassee, FL 32311 Phone: 850-431-3867 Fax: 850-431-3879 | |
Transition Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3333 Capital Oaks Dr, Tallahassee, FL 32308 Phone: 850-431-4470 Fax: 850-431-4471 |