Individual provider Active NPI

Tammy L Blankenship, MD, MPH, MS

  • Public Health & General Preventive Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1285670216
Registry record updated Aug 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
ME 70169 Issued in FL
Practice address
960 Learning Way
Tallahassee, FL 32306-4178
Phone
(850) 644-6230
Fax
(850) 644-4251
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X ME 70169 FL Primary

Addresses

Primary practice location

960 Learning Way
Tallahassee, FL 32306-4178

Mailing address

960 Learning Way
Tallahassee, FL 32306-4178
Phone (850) 644-6230

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
I20050916000161 FL Practitioner - Preventive MedicinePractitioner - General Practice 3577596832 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Preventive MedicineAlso: General Practice
Education
University of South Alabama College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Doctors Intrastate LLCGroup PAC ID 5395161186, 74 clinicians

Practice addresses (Care Compare)

461 E Ten Mile Rd
Island Doctors Pensacola East
Pensacola, FL 32534-9712
Phone (850) 471-8940

Hospital & facility affiliations

  • Vitas Healthcare Corporation of Florida Hospice, Melbourne, FL, CCN 101545
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
ME 70169FLMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roy H Hinman MD PA CurrentSince Oct 2, 2017 Accepting new patients
Island Doctors Intrastate LLC CurrentSince Jan 27, 2021 Accepting new patients

Locations

4542 Alba St
Pace, FL 32571
Phone (850) 994-0045

461 E Ten Mile Rd
Pensacola, FL 32534
Phone (850) 471-8940

507 N Navy Blvd
Pensacola, FL 32507
Phone (850) 471-8960

103 Anastasia Blvd
St Augustine, FL 32080
Phone (904) 825-4747

100 Arricola Ave
St Augustine, FL 32080
Phone (904) 825-4368

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 6

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376438400000",
    "number": "1285670216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 LEARNING WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323064178",
            "telephone_number": "850-644-6230",
            "fax_number": "850-644-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 LEARNING WAY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323064178",
            "telephone_number": "850-644-6230",
            "fax_number": "850-644-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANKENSHIP",
        "first_name": "TAMMY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD, MPH, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "ME 70169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.