Charles W Kent, M.D. Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME40570 Issued in FL

Legal business name

CHARLES W KENT, M.D. INC.

Practice address

3301 Thomasville Rd
Suite 102
Tallahassee, FL 32308-7946

Phone

(850) 391-9622

NPI assigned

Jun 4, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Charles W Kent, MDNPI 1205891850

Title

President

Phone

(850) 459-7879

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Kent, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1205891850
  Medicare reassignment NPD Authorized official
• Jennifer Reynolds, APRN-C

  • Family Nurse Practitioner
  • Tallahassee, FL
  • NPI 1215822283
  Medicare reassignment NPD

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378598400000",
    "number": "1184062853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 LANCASHURE LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092963",
            "fax_number": "888-747-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 THOMASVILLE RD",
            "address_2": "SUITE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087946",
            "telephone_number": "850-391-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES W KENT, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-09-08",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-459-7879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME40570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigayle Catherine Chappell, MA, BCBA
• Bethany Chappell, APRN
• Kaea Lee Charfauros
• Giovana Noelle Charite
• Myriam Charles Gonzalez, LMSW
• Charline Charles
• Gwenda Charles
• Lyncee Charles
• Martine Charles, DC
• Kelsie Phenae Charlton

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2013; 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.