Individual provider Active NPI

George Patides, A.P.

  • Acupuncturist
  • Tallahassee, FL
National Provider Identifier
1073928677
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AP917 Issued in FL
Practice address
2819 Mahan Dr Ste 102
Tallahassee, FL 32308-5492
Phone
(850) 877-8980
Fax
(888) 972-7513
NPI assigned
Jun 23, 2014
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AP917 FL Primary

Addresses

Primary practice location

2819 Mahan Dr Ste 102
Tallahassee, FL 32308-5492

Mailing address

2819 Mahan Dr Ste 102
Tallahassee, FL 32308-5492
Phone (850) 877-8980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AP917FLMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Health Clinic Inc Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1073928677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 MAHAN DR STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085492",
            "telephone_number": "850-877-8980",
            "fax_number": "888-972-7513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 MAHAN DR STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085492",
            "telephone_number": "850-877-8980",
            "fax_number": "888-972-7513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATIDES",
        "first_name": "GEORGE",
        "credential": "A.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "AP917",
            "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 Jun 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.