Jimmy Pierre, MD
Individual provider Active NPI General Practice Physician · Tallahassee, FL
NPI 1053945279 · NPPES record last updated Feb 26, 2020
Key facts
- NPI
- 1053945279
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- HSE29878 (FL)
- Practice address
- 2634 Capital Cir NE
Tallahassee, FL 32308-4106 - Phone
- (850) 523-3261
- Fax
- (850) 523-3411
- NPI assigned
- Feb 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- General Practice
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apalachee Center Inc
Practice addresses (Care Compare)
2634 Capital Circle NE
BLDG J
Tallahassee, FL 32308-4141
Phone (850) 523-3333
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200609002176 | FL | Practitioner - General Practice | 9638590102 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apalachee Center Inc | Current |
Accepting new patients | |
| Jimmy Pierre MD & Company | General Practice | Current | Accepting new patients |
| Apalachee Center, Inc. | General Practice | Current |
Accepting new patients |
Locations
2634 Capital Cir NE
Bldg B
Tallahassee, FL 32308
Phone (850) 487-2930
2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243
2634 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 523-3261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | HSE29878 | FL | Yes |
Addresses
Primary practice location
2634 Capital Cir NE
Tallahassee, FL 32308-4106
Mailing address
2074 Midyette Rd Apt 1014
Tallahassee, FL 32301-6248
Phone (305) 928-9616
Other providers in Tallahassee, FL
- Devona Vickers Pickle
- Kayla Fern Pickron
- Amber Pierce
- Sarah Pierce
- Constance Pierre-Barfield
- Manouchka Clitus Pierre
- Marc Pierre
- Megan E Pietrodangelo
- Janzen Cole Pigg
- Pihs of FL Inc
All providers in Tallahassee, FL · General Practice Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.