The Minority Alliance for Advocating Community Awareness and Action, I

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

THE MINORITY ALLIANCE FOR ADVOCATING COMMUNITY AWARENESS AND ACTION, I

Practice address

1375 Cross Creek Cir
Tallahassee, FL 32301-3729

Phone

(850) 942-6222

Fax

(850) 942-6333

NPI assigned

Jul 16, 2020

Organization subpart

No

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

Authorized official

Name

Sylvia Hubbard, MSW

Title

Coo

Phone

(850) 942-6222

Specialties & licenses 8

Addresses

Other identifiers 3

Other names 1

• MAACA, INC. Doing business as

Electronic endpoints 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Tiffany Nicole Bryant

  • Community Health Clinic/Center
  • Tallahassee, FL
  • NPI 1265916340
  NPD
• Kennedy Williams, RN

  • Registered Nurse
  • Tallahassee, FL
  • NPI 1306626007
  NPD

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1235747239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-942-6222",
            "fax_number": "850-942-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 CROSS CREEK CIR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323013729",
            "telephone_number": "850-942-6222",
            "fax_number": "850-942-6333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4211 Little Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346551606",
            "country_code": "US",
            "telephone_number": "727-372-5222",
            "fax_number": "727-372-5225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE MINORITY ALLIANCE FOR ADVOCATING COMMUNITY AWARENESS AND ACTION, I",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-16",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "850-942-6222",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003130840",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578814539",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "305043200",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.littleroadpharmacy.com",
            "affiliation": "N",
            "endpointDescription": "www.littleroadpharmacy.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4211 Little Rd",
            "city": "New Port Richey",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346551606",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maacatallahassee@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1375 Cross Creek Cir",
            "city": "Tallahassee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323013729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MAACA, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAACA, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.