| Tallahassee Neurology Specialists, P.l. | |
|
1401 Oven Park Dr Suite 201 Tallahassee FL 32308-7959 | |
| (850) 765-8623 | |
| (850) 765-0118 |
| Full Name | Tallahassee Neurology Specialists, P.l. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1401 Oven Park Dr, Tallahassee, Florida |
| Authorized Official Name and Position | Roland Peter Jones (OWNER) |
| Authorized Official Contact | 8507658623 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallahassee Neurology Specialists, P.l. Po Box 15399 Tallahassee FL 32317-5399 Ph: (850) 765-8623 | Tallahassee Neurology Specialists, P.l. 1401 Oven Park Dr Suite 201 Tallahassee FL 32308-7959 Ph: (850) 765-8623 |
| NPI Number | 1326357005 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/22/2021 |
| Medicare PECOS PAC ID | 7911199971 |
|---|---|
| Medicare Enrollment ID | O20101008000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326357005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | ME104540 (Florida) | Primary |
| Provider Name | Roland Peter Jones |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720074610 PECOS PAC ID: 8325145618 Enrollment ID: I20101008000295 |
| Provider Name | Brian K. Russell |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1396834271 PECOS PAC ID: 8729008248 Enrollment ID: I20190212002148 |
| Provider Name | David Preston Johnson |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1134530926 PECOS PAC ID: 9638396963 Enrollment ID: I20190710001765 |
| Provider Name | Jasmine Renay Dillard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841847753 PECOS PAC ID: 6507196714 Enrollment ID: I20191001000481 |
| Provider Name | Rex Williams |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821034596 PECOS PAC ID: 2365447737 Enrollment ID: I20200108000641 |
| Provider Name | Brittany J Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902403165 PECOS PAC ID: 5496165268 Enrollment ID: I20201105002194 |
| Provider Name | Joselyn Leigh Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790300697 PECOS PAC ID: 7416368873 Enrollment ID: I20201116003221 |
| Provider Name | Jodi L'heureux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861019366 PECOS PAC ID: 9436560760 Enrollment ID: I20201118000214 |
| Provider Name | Erin Vickers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831702760 PECOS PAC ID: 3577976927 Enrollment ID: I20210105000107 |
| Provider Name | Kristen Whitfield Deason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942842901 PECOS PAC ID: 2860808409 Enrollment ID: I20210308000202 |
| Provider Name | Julia Tjandera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568056828 PECOS PAC ID: 8527477371 Enrollment ID: I20210506001314 |
| Provider Name | Kateryna Kurako |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962835538 PECOS PAC ID: 1254555345 Enrollment ID: I20220223001317 |
| Provider Name | Brandi Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427698836 PECOS PAC ID: 6103253034 Enrollment ID: I20230705002346 |
| Provider Name | Maurice Bernaiche |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1407824576 PECOS PAC ID: 8820013832 Enrollment ID: I20230927001649 |
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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 |