Individual provider Active NPI

Tasscia M Williams Souffrant, MD

  • Obstetrics & Gynecology Physician
  • Melbourne, FL
National Provider Identifier
1053694539
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME149269 Issued in FL
Practice address
1223 Gateway Dr
Melbourne, FL 32901-2607
Phone
(321) 361-5615
Fax
(321) 722-1237
NPI assigned
Sep 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME149269 FL Primary

Addresses

Primary practice location

1223 Gateway Dr
Melbourne, FL 32901-2607

Mailing address

3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 361-5615

Other practice location 1

730 Malabar Rd Ste B
Malabar, FL 32950-3140
Phone (321) 361-5615

Other identifiers 1

IdentifierTypeStateIssuer
112204100MedicaidFL

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
I20211108001114 FL Practitioner - Obstetrics/Gynecology 8426274044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1223 Gateway Dr
Melbourne, FL 32901-2607
Phone (321) 725-4500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D85692MDMDObstetrics & Gynecology Physician
MD458253PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health CurrentSince Sep 24, 2024 Accepting new patients
Health First Medical Group, LLC Obstetrics & Gynecology CurrentSince Nov 25, 2021 Accepting new patients
Florida Department of Health CurrentSince Sep 24, 2024 Accepting new patients
Health First Medical Group, LLC CurrentSince Nov 25, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

730 Malabar Rd
Ste B
Malabar, FL 32950
Phone (321) 549-0696

1223 Gateway Dr
Melbourne, FL 32901
Phone (321) 549-0677

1223 Gateway Dr
Ste 1D
Melbourne, FL 32901
Phone (321) 729-6166

2575 N Courtenay Pkwy
Merritt Island, FL 32953
Phone (321) 454-7148

3300 S Fiske Blvd
Rockledge, FL 32955
Phone (321) 434-1771

2555 Judge Fran Jamieson Way
Viera, FL 32940
Phone (321) 615-9337

Interoperability endpoints

  • Direct secure messaging: twilliamssouffrant69333@epicdirect.hf.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1053694539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 S FISKE BLVD",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329554306",
            "telephone_number": "321-361-5615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1223 GATEWAY DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012607",
            "telephone_number": "321-361-5615",
            "fax_number": "321-722-1237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Malabar Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Malabar",
            "state": "FL",
            "postal_code": "329503140",
            "country_code": "US",
            "telephone_number": "321-361-5615",
            "fax_number": "321-722-1237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS SOUFFRANT",
        "first_name": "TASSCIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME149269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112204100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.