Organization Active NPI

Talle Regen, LLC

  • Occupational Medicine Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1174199095
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
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

Updated by the provider on Jun 1, 2021

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.