Organization Active NPI

Tallahassee Neurology Associates, P.a.

  • Neurology Physician
  • Tallahassee, FL
National Provider Identifier
1013013929
Registry record updated Oct 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
TALLAHASSEE NEUROLOGY ASSOCIATES, P.A.
Practice address
2868 Mahan Dr
Suite 5
Tallahassee, FL 32308-5468
Phone
(850) 942-7177
Fax
(850) 656-9443
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2012

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

Authorized official

Name
Ms. Melinda J Doyle
Title
Office Manager
Phone
(850) 942-7177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2868 Mahan Dr
Suite 5
Tallahassee, FL 32308-5468

Mailing address

2868 Mahan Dr
Suite 5
Tallahassee, FL 32308-5468
Phone (850) 942-7177

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040828000138 FL Part B Supplier - Clinic/Group Practice 7214902725 Receives reassigned benefits from 2 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1013013929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2868 MAHAN DR",
            "address_2": "SUITE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085468",
            "telephone_number": "850-942-7177",
            "fax_number": "850-656-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2868 MAHAN DR",
            "address_2": "SUITE 5",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085468",
            "telephone_number": "850-942-7177",
            "fax_number": "850-656-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE NEUROLOGY ASSOCIATES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-942-7177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.