Individual provider Active NPI

Andrea Friall, M.D.

  • Obstetrics & Gynecology Physician
  • Tallahassee, FL
National Provider Identifier
1366543753
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME0082774 Issued in FL
Practice address
1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647
Phone
(850) 877-7241
Fax
(850) 877-1338
NPI assigned
Sep 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X ME0082774 FL Primary

Addresses

Primary practice location

1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647

Mailing address

1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647
Phone (850) 877-7241

Other identifiers 1

IdentifierTypeStateIssuer
262087100MedicaidFL

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
I20100628000974 FL Practitioner - Obstetrics/Gynecology 0446381313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Howard University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Florida Women'S Care, P.a.Group PAC ID 0840284923, 20 clinicians

Practice addresses (Care Compare)

1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4638
Phone (850) 877-7241

Merit-based Incentive Payment System (MIPS)

Final score
54.43 of 100Reported as group
Quality
57.3
Improvement activities
0
Cost
76.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0082774FLMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Women'S Care, P.a. Obstetrics & Gynecology CurrentSince Jul 16, 2001 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1219 Hodges Dr
Tallahassee, FL 32308
Phone (850) 877-5767

1401 Centerville Rd
Ste 202
Tallahassee, FL 32308
Phone (850) 205-0393

1608 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 431-6200

1401 Centerville Rd
Ste 705
Tallahassee, FL 32308

Interoperability endpoints

  • Direct secure messaging: afriall18838@tallahasseememorial.direct-ci.com
  • Direct secure messaging: andrea.friall.1@28306.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/28306/brand/1/csg/1/fhir/r4

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 Corporate Officer Nov 1, 2016

Owned or controlled facilities with NPI records 1

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1366543753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIALL",
        "first_name": "ANDREA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2022-07-21",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME0082774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262087100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.