| 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 | Frank Gredler |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023013661 PECOS PAC ID: 7618970989 Enrollment ID: I20070911000059 |
| Provider Name | Victoria 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 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 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 M 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 | 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 M Redfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366869091 PECOS PAC ID: 3577786904 Enrollment ID: I20221006002908 |
| 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 | 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 |
| Provider Name | Elizabeth S Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407677743 PECOS PAC ID: 1052845724 Enrollment ID: I20241118001556 |
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 | |
Tallahassee Memorial Healthcare Inc 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 | |
Marsha Medical Group, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Calhoun St Ste 4, Tallahassee, FL 32301 Phone: 617-958-5697 |