Organization Active NPI

Tallahassee Memorial Healthcare Inc

Doing business as TMH Physician Partners

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1366293102
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TALLAHASSEE MEMORIAL HEALTHCARE INC
Doing business as
TMH Physician Partners
Practice address
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone
(850) 431-6200
NPI assigned
Mar 29, 2024
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TALLAHASSEE MEMORIAL HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Jennifer Parks
Title
President
Phone
(850) 431-6234

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X
Cardiovascular Disease Physician 207RC0000X
Clinical Cardiac Electrophysiology Physician 207RC0001X
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
Pulmonary Disease Physician 207RP1001X
Rheumatology Physician 207RR0500X
Maternal & Fetal Medicine Physician 207VM0101X
Gynecologic Oncology Physician 207VX0201X
Clinical Neurophysiology Physician 2084N0600X
Surgery Physician 208600000X
Vascular Surgery Physician 2086S0129X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X
Pain Medicine Physician 208VP0000X
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Mailing address

1607 Saint James CT Ste 1
Tallahassee, FL 32308-5352
Phone (850) 431-7289

Other practice location 1

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 431-5430

Other names 1

  • TMH Physician Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, TX, MD, HI, WI, NY, IL, IN, CO, CA, SC, VA13 enrollments

Enrollment records 13

Enrollment IDStateProvider typePAC IDDetails
O20031222000279 FL Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 702 practitioners
39 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Tallahassee, FL; Blountstown, FL; Chipley, FL; Crawfordville, FL; Madison, FL; Marianna, FL; Monticello, FL; Panama City Beach, FL…
O20160510002584 GA Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Thomasville, GA
O20250825004230 TX Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 6 practitioners
Practice locations: Boerne, TX; Edinburg, TX; Houston, TX; Livingston, TX; Sugar Land, TX
O20250825004411 MD Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 1 practitioner
Practice locations: Ellicott City, MD
O20250916000856 HI Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, ID
O20250918003937 WI Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 1 practitioner
Practice locations: Middleton, WI
O20250919001689 NY Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 3 practitioners
Practice locations: New Hartford, NY; New York, NY; Northport, NY
O20251014001818 IL Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, IL
O20251029004036 IN Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 1 practitioner
Practice locations: Valparaiso, IN
O20260215000151 CO Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 1 practitioner
Practice locations: Broomfield, CO
O20260220001014 CA Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 8 practitioners
Practice locations: San Diego, CA; Rancho Palos Verdes, CA; Poway, CA; Newport Beach, CA; Irvine, CA; Kentfield, CA; Altadena, CA; Glendale, CA…
O20260317002481 SC Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 1 practitioner
Practice locations: Blythewood, SC
O20260323002390 VA Part B Supplier - Clinic/Group Practice 6103724778 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

Other NPIs with the same Medicare PAC ID 10

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 40

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 40

National Provider Directory

National Provider Directory
Part of
Tallahassee Memorial Em

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

137 12th St
Apalachicola, FL 32320
Phone (850) 653-1212

1002 N Arnold Rd
Unit 301
Panama City Beach, FL 32413
Phone (850) 238-4200

600 Lefall Dr
Quincy, FL 32351
Phone (850) 875-3600

1305 E 6th Ave
Tallahassee, FL 32303
Phone 85043143325

1619 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-6800

1633 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-2875

152 Rainbow Dr
#5250
Livingston, TX 77399

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tallahassee Memorial Behavior Health CenterTallahassee, FL, CCN 10S135 Hospital Operational/Managerial Control (100%) Jun 29, 1979

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 628

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 628

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1366293102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1607 SAINT JAMES CT STE 1",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085352",
            "telephone_number": "850-431-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-431-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084614",
            "country_code": "US",
            "telephone_number": "850-431-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TALLAHASSEE MEMORIAL HEALTHCARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TALLAHASSEE MEMORIAL HEALTHCARE INC",
        "enumeration_date": "2024-03-29",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-431-6234"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TMH Physician Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.