Active NPI
Hospitalist Medicine Physicians of Mississippi-TCS, Inc.
- Internal Medicine Physician
- St Augustine, FL
National Provider Identifier
1023866597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- HOSPITALIST MEDICINE PHYSICIANS OF MISSISSIPPI-TCS, INC.
- Practice address
- 400 Health Park Blvd
St Augustine, FL 32086-5784 - Phone
- (615) 377-5658
- NPI assigned
- May 9, 2024
- Last updated
- Jun 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura Fall
- Title
- Manager
- Phone
- (253) 682-6040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
400 Health Park Blvd
St Augustine, FL 32086-5784
Mailing address
120 Brentwood Commons Way Ste 510
Brentwood, TN 37027-2028
Phone (253) 682-6040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 46
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Indianapolis, IN
- NPI 1053960120
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1164886735
-
- Internal Medicine Physician
- St Augustine, FL
- NPI 1639733983
-
- Internal Medicine Physician
- Boynton Beach, FL
- NPI 1356515019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715212800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749081600000",
"number": "1023866597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BRENTWOOD COMMONS WAY STE 510",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370272028",
"telephone_number": "253-682-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 HEALTH PARK BLVD",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320865784",
"telephone_number": "615-377-5658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOSPITALIST MEDICINE PHYSICIANS OF MISSISSIPPI-TCS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-09",
"last_updated": "2025-06-05",
"certification_date": "2025-06-05",
"status": "A",
"authorized_official_last_name": "FALL",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "253-682-6040"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.