Individual provider Active NPI

Thomas Serio, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1184654055
Registry record updated Mar 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME66951 Issued in FL
Practice address
1802 Miccosukee Commons Drive
Tallahassee, FL 32308-5432
Phone
(850) 656-5411
Fax
(850) 878-5486
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME66951 FL Primary

Addresses

Primary practice location

1802 Miccosukee Commons Drive
Tallahassee, FL 32308-5432

Mailing address

1802 Miccosukee Commons Drive
Tallahassee, FL 32308
Phone (850) 656-5411

Other identifiers 1

IdentifierTypeStateIssuer
377627100MedicaidFL

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
I20080319000494 FL Practitioner - Family Practice 1759467582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1802 Miccosukee Commons Dr
Tallahassee, FL 32308-5432
Phone (850) 576-3847

5103 Cold Harbor Dr
Tallahassee, FL 32312-4148
Phone (850) 270-2159

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Tallahassee, FL, CCN 107151
  • Big Bend Hospice Inc Hospice, Tallahassee, FL, CCN 101523
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Thomas G Serio MD PA CurrentSince Mar 1, 2008 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1802 Miccosukee Commons Dr
Tallahassee, FL 32308
Phone (850) 576-3847

Interoperability endpoints

  • Direct secure messaging: thomas.serio.1@12113.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363737600000",
    "number": "1184654055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 MICCOSUKEE COMMONS DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-656-5411",
            "fax_number": "850-878-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 MICCOSUKEE COMMONS DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085432",
            "telephone_number": "850-656-5411",
            "fax_number": "850-878-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERIO",
        "first_name": "THOMAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME66951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377627100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.