Individual provider Active NPI

Ovidiu Popa, M.D.

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1144277864
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME122441 Issued in FL
Practice address
3375 Capital Cir NE BLDG E
Tallahassee, FL 32308
Phone
(229) 220-1123
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 052478 GA
Obstetrics & Gynecology Physician 207V00000X ME122441 FL Primary

Addresses

Primary practice location

3375 Capital Cir NE BLDG E
Tallahassee, FL 32308

Mailing address

3425 Bannerman Rd Ste 105-508
Tallahassee, FL 32312-7062
Phone (850) 900-5137

Other practice location 1

505 City Blvd
Waycross, GA 31501-8003
Phone (921) 490-2229

Other practice location 2

3375 Capital Cir NE Bldg E
Tallahassee, FL 32308
Phone (229) 220-1123

Other identifiers 1

IdentifierTypeStateIssuer
150084075BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20061003000352 GA Practitioner - Obstetrics/Gynecology 4789689308 Reassigns benefits to 2 organizations
I20200421000491 FL Practitioner - Obstetrics/Gynecology 4789689308 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3375 Capital Cir NE
BLDG E
Tallahassee, FL 32308-3778
Phone (850) 900-5137

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of the City of Bainbridge and Decatur County Georgi CurrentSince Nov 1, 2006 Accepting new patients
Integrated Regional Laboratories Pathology Services, LLC Current Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County CurrentSince Nov 1, 2006 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Capital Premier Women's Health, PA Obstetrics & Gynecology CurrentSince Feb 11, 2020 Accepting new patients
Mayo Clinic Health System in Waycross, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Primary Care Inc Obstetrics & Gynecology Past Accepting new patients

Locations

3425 Bannerman Rd
Ste 105508
Tallahassee, FL 32312
Phone (229) 220-1123

3375 Capital Cir NE
Tallahassee, FL 32308

3375 Capital Cir NE
Bldg E
Tallahassee, FL 32308
Phone (229) 220-1123

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

316 Shirley Ave
Douglas, GA 31533
Phone (912) 383-0815

505 City Blvd
Waycross, GA 31501
Phone (912) 490-2229

1921 Alice St
Ste 4B
Waycross, GA 31501
Phone (912) 285-5690

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FAHACD/Endpoint/FAHACD
  • Direct secure messaging: opopa21789@tallahasseememorial.direct-ci.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1144277864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 BANNERMAN RD STE 105-508",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323127062",
            "telephone_number": "850-900-5137",
            "fax_number": "850-900-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 CAPITAL CIR NE BLDG E",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "229-220-1123"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 City Blvd",
            "address_purpose": "LOCATION",
            "city": "Waycross",
            "state": "GA",
            "postal_code": "315018003",
            "country_code": "US",
            "telephone_number": "921-490-2229",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3375 Capital Cir NE Bldg E",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "32308",
            "country_code": "US",
            "telephone_number": "229-220-1123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPA",
        "first_name": "OVIDIU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "052478",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME122441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150084075B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.