Individual provider Active NPI

Joedrecka S Brown Speights, MD

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1336199132
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME79415 Issued in FL
Practice address
2911 Roberts Avenue
Tallahassee, FL 32310
Phone
(850) 644-1543
Fax
(855) 230-7421
NPI assigned
May 11, 2006
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 ME79415 FL Primary

Addresses

Primary practice location

2911 Roberts Avenue
Tallahassee, FL 32310

Mailing address

2911 Roberts Ave
Tallahassee, FL 32310-5007
Phone (850) 644-1543

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
I20081021000893 FL Practitioner - Family Practice 9133287022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Medical Practice Plan IncGroup PAC ID 3971608993, 27 clinicians

Practice addresses (Care Compare)

2911 Roberts Ave
Tallahassee, FL 32310-5007
Phone (850) 644-1543

Merit-based Incentive Payment System (MIPS)

Final score
87.33 of 100Reported as group
Quality
89.31
Promoting interoperability
100
Improvement activities
40
Cost
68.47

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79415FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Practice Plan Inc CurrentSince Apr 1, 2019 Accepting new patients
Baycare Urgent Care, LLC Family Medicine Past Accepting new patients

Locations

1115 W Call St
Tallahassee, FL 32304
Phone (850) 644-1543

1115 W Call St
Rm 3210V
Tallahassee, FL 32304

2911 Roberts Ave
Tallahassee, FL 32310
Phone (850) 644-1542

4449 Meandering Way
Tallahassee, FL 32308
Phone (850) 644-1543

Interoperability endpoints

  • Direct secure messaging: joedrecka.brown-speights.1@19268.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1336199132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 ROBERTS AVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323105007",
            "telephone_number": "850-644-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 ROBERTS AVENUE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32310",
            "telephone_number": "850-644-1543",
            "fax_number": "855-230-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN SPEIGHTS",
        "first_name": "JOEDRECKA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME79415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.