Individual provider Active NPI

Nicole Larissa Mignott-Dawson

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1003590977
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME180269 Issued in FL
Practice address
1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone
(850) 431-5430
NPI assigned
Jun 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME180269 FL Primary

Addresses

Primary practice location

1301 Hodges Dr
Tallahassee, FL 32308-4614

Mailing address

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 431-5430

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230927002011 FL Order and Referring Only - Family PracticePractitioner - Family Practice 6002260866

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1301 Hodges Dr
Tallahassee, FL 32308-4614

1301 Hodges Dr
Tallahassee, FL 32308-4676

1607 Saint James CT
Tallahassee, FL 32308-6047

1607 Saint James CT
Suite 1
Tallahassee, FL 32308-4658

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: nmignottdawson22065@tallahasseememorial.direct-ci.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1003590977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614",
            "telephone_number": "850-431-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614",
            "telephone_number": "850-431-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGNOTT-DAWSON",
        "first_name": "NICOLE",
        "middle_name": "LARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME180269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.