Individual provider Active NPI

Charles Kent, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1205891850
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME40570 Issued in FL
Practice address
3301 Thomasville Rd
Ste 102
Tallahassee, FL 32308-7946
Phone
(850) 391-9622
Fax
(850) 576-8346
NPI assigned
Apr 18, 2006
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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 ME40570 FL Primary

Addresses

Primary practice location

3301 Thomasville Rd
Ste 102
Tallahassee, FL 32308-7946

Mailing address

3301 Thomasville Rd
Ste 102
Tallahassee, FL 32308-7946
Phone (850) 391-9622

Other identifiers 1

IdentifierTypeStateIssuer
067125800MedicaidFL

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
I20090108000264 FL Practitioner - Family Practice 3577586874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1981
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)

3301 Thomasville Rd
Suite 102
Tallahassee, FL 32308-7941
Phone (850) 561-8346

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal46
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Charles W Kent, M.D. Inc. Family Medicine CurrentSince Mar 1, 2022 Accepting new patients
Tallahassee Vein & Face Clinic Inc CurrentSince Dec 1, 2007 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine Past Accepting new patients

Locations

409 High St
Chattahoochee, FL 32324
Phone (850) 663-4643

3301 Thomasville Rd
Ste 102
Tallahassee, FL 32308
Phone (850) 391-9622

3301 Thomasville Rd
Ste 102B
Tallahassee, FL 32308

Organizations & group practices 4

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 4

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1205891850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 THOMASVILLE RD",
            "address_2": "STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087946",
            "telephone_number": "850-391-9622",
            "fax_number": "850-576-8346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 THOMASVILLE RD",
            "address_2": "STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087946",
            "telephone_number": "850-391-9622",
            "fax_number": "850-576-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME40570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067125800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.