Individual provider Active NPI

Gregory R Hartlage, M.D.

  • Cardiovascular Disease Physician
  • Tallahassee, FL
National Provider Identifier
1174783674
Registry record updated Jun 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME118901 Issued in FL
Practice address
1300 Medical Dr.
Tallahassee, FL 32308
Phone
(850) 216-0100
NPI assigned
Jun 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME118901 FL
Cardiovascular Disease Physician 207RC0000X ME118901 FL Primary

Addresses

Primary practice location

1300 Medical Dr.
Tallahassee, FL 32308

Mailing address

525 N Calhoun St
Tallahassee, FL 32301-1231
Phone (678) 953-0178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150811004256 FL Practitioner - Cardiovascular Disease (Cardiology) 7315252095 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of South Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Diag Imaging Ctr LTDGroup PAC ID 9032193222, 25 clinicians

Practice addresses (Care Compare)

1300 Medical Dr
Tallahassee, FL 32308-4646
Phone (850) 216-0100

1600 Phillips Rd
Tallahassee, FL 32308-5304
Phone (850) 656-2261

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
15 of 100Reported as group
Quality
0
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Aug 1, 2015 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Doctors Memorial Hospital Inc CurrentSince Jan 14, 2016 Accepting new patients
Doctors Memorial Hospital Inc CurrentSince Jan 14, 2016 Accepting new patients
Tallahassee Diag Imaging Ctr LTD CurrentSince Aug 1, 2015 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1300 Medical Dr
Tallahassee, FL 32308
Phone (850) 216-0190

Interoperability endpoints

  • Direct secure messaging: ghartlage21616@tallahasseememorial.direct-ci.com
  • Direct secure messaging: gregoryhartlage@tmhpp2.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1174783674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 N CALHOUN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011231",
            "telephone_number": "678-953-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MEDICAL DR.",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-216-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLAGE",
        "first_name": "GREGORY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-10",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME118901",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME118901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.