Active NPI
Talle Regen, LLC
- Occupational Medicine Clinic/Center
- Tallahassee, FL
National Provider Identifier
1174199095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Clinic/Center
- Legal business name
- TALLE REGEN, LLC
- Practice address
- 1641 Mahan Center Blvd Ste 2
Tallahassee, FL 32308-7404 - Phone
- (615) 952-0106
- NPI assigned
- Jun 1, 2021
- 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
- Mr. James Jeffrey Adams
- Title
- Partner
- Phone
- (615) 952-0106
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Clinic/Center | 261QX0100X | Primary |
Addresses
Primary practice location
1641 Mahan Center Blvd Ste 2
Tallahassee, FL 32308-7404
Mailing address
4007 W 27TH CT
Panama City, FL 32405-1211
Phone (615) 952-0106
Other names 1
- QC Kinetix
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622505600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1622505600000",
"number": "1174199095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4007 W 27TH CT",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324051211",
"telephone_number": "615-952-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1641 MAHAN CENTER BLVD STE 2",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323087404",
"telephone_number": "615-952-0106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALLE REGEN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-01",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "JEFFREY",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "615-952-0106",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QX0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Occupational Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "QC Kinetix",
"code": "3",
"type": "Doing Business As"
}
]
}
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 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.