NPIMap

Organization Active NPI

Tallahassee Orthopedic Clinic III PL

Doing business as Tallahassee Orthopedic Clinic

  • Durable Medical Equipment & Medical Supplies
  • Perry, FL
National Provider Identifier
1174715502
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TALLAHASSEE ORTHOPEDIC CLINIC III PL
Doing business as
Tallahassee Orthopedic Clinic
Practice address
803 W Main St
Perry, FL 32347-2612
Phone
(850) 584-7078
Fax
(844) 262-4209
NPI assigned
Aug 9, 2007
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
TALLAHASSEE ORTHOPEDIC CLINIC III PLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Lori Carter
Title
Business Office Director
Phone
(850) 219-1925

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

Primary practice location

803 W Main St
Perry, FL 32347-2612

Mailing address

3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174

Other names 1

  • Tallahassee Orthopedic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240508000842 FL DME Supplier - Physician - Orthopedic/Orthopedic Surgery 4284532755 Practice locations: Perry, FL

National Provider Directory

National Provider Directory
Tax ID family
Tallahassee Orthopedic51 organizations share this tax ID, including this one
Part of
Tallahassee Orthopedic

Organizations with this tax ID in the same state 20

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 20

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1174715502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084470",
            "telephone_number": "850-877-8174",
            "fax_number": "844-261-6839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 W MAIN ST",
            "city": "PERRY",
            "state": "FL",
            "postal_code": "323472612",
            "telephone_number": "850-584-7078",
            "fax_number": "844-262-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "850-219-1925"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tallahassee Orthopedic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Perry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.