Individual provider Active NPI

Anna Pittman, PA-C

  • Medical Physician Assistant
  • Tallahassee, FL
National Provider Identifier
1366818163
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9108780 Issued in FL
Practice address
2626 Capital Medical Blvd
Tallahassee, FL 32308-4402
Phone
(850) 325-5000
NPI assigned
Aug 15, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108780 FL Primary

Addresses

Primary practice location

2626 Capital Medical Blvd
Tallahassee, FL 32308-4402

Mailing address

1690 N Monroe St
Tallahassee, FL 32303-5533
Phone (850) 385-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, MD, DC4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20151028002994 FL Practitioner - Physician Assistant 0840509071 Reassigns benefits to 3 organizations
I20211008001488 GA Practitioner - Physician Assistant 0840509071 Reassigns benefits to 1 organization
I20211011001172 MD Practitioner - Physician Assistant 0840509071 Reassigns benefits to 1 organization
I20220301000873 DC Practitioner - Physician Assistant 0840509071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peachtree Immediate Care FP, LLCGroup PAC ID 3274559323, 328 clinicians
CRH MD Management LLCGroup PAC ID 2466841028, 70 clinicians

Practice addresses (Care Compare)

10905 Haynes Bridge Rd
Alpharetta, GA 30022-4807
Phone (770) 343-9898

1100 Johnson Ferry Rd
Suite 510
Marietta, GA 30068-2794
Phone (943) 888-9006

111 Colonial Way
Jesup, GA 31545-0130
Phone (912) 588-9110

11244 Tara Blvd
Suite 130
Hampton, GA 30228-1655
Phone (470) 781-3092

11804 Reisterstown Rd
Reisterstown, MD 21136-3311
Phone (410) 870-5094

122 N Morningside Dr
Cartersville, GA 30121-2912
Phone (678) 723-6721

1220 Caroline St NE
Suite a 230
Atlanta, GA 30307-2749
Phone (678) 710-3980

1275 Hwy 54 W
Suite 201
Fayetteville, GA 30214-4538
Phone (770) 461-3776

13093 Brown Bridge Rd
Covington, GA 30016-9109
Phone (678) 800-1591

131 Fischer Crossings Dr
Sharpsburg, GA 30277-3660
Phone (678) 590-5177

1436 Hwy 16 W
Griffin, GA 30223-2055
Phone (770) 889-1211

1480 Baxter St
Suite a
Athens, GA 30606-6393
Phone (706) 543-0228

1481 Hwy 40 E
Kingsland, GA 31548-6507
Phone (912) 576-6865

1495 Lafayette Pkwy
Lagrange, GA 30241-2552
Phone (706) 884-7822

1680 Hudson Bridge Rd
Stockbridge, GA 30281-5022
Phone (678) 272-5056

1720 N Columbia St
Milledgeville, GA 31061-2315
Phone (478) 387-0049

1829 Lawrenceville Hwy
Decatur, GA 30033-5728
Phone (404) 292-8335

1834 Clairmont Rd
Suite 100
Decatur, GA 30033-3405
Phone (404) 634-4443

1850 E W Connector
Austell, GA 30106-1246
Phone (770) 988-5824

191 S Marietta Pkwy SW
Marietta, GA 30064-3291
Phone (404) 939-4979

2005 Mount Zion Rd
Morrow, GA 30260-3313
Phone (770) 919-5250

209 Cooley Dr
Suite 101
Villa Rica, GA 30180-7057
Phone (770) 456-0911

2105 Veterans Blvd
Dublin, GA 31021-3033
Phone (478) 205-5312

2481 George Busbee Pkwy NW
Kennesaw, GA 30144-4961
Phone (770) 423-0000

2606 Manchester Expy
Columbus, GA 31904-5207
Phone (706) 989-5903

Merit-based Incentive Payment System (MIPS)

Final score
53.05 of 100Reported as group
Quality
49.52
Promoting interoperability
0
Improvement activities
40
Cost
77.32

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50.88 of 100Reported as group
Quality
48.24
Promoting interoperability
0
Improvement activities
30
Cost
83.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
10238GAMDGeneral Practice Dentistry
PA9108780FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Statcare Group, LLC CurrentSince Jul 7, 2021 Accepting new patients
CRH MD Management LLC CurrentSince Dec 1, 2021 Accepting new patients
Lake Oliver Emergency Group, LLC CurrentSince Jun 16, 2022 Accepting new patients
CRH MD Management LLC CurrentSince Feb 1, 2022 Accepting new patients
Old Fields Emergency Physicians, LLC Past Accepting new patients
Florida Em-I Medical Services PA Past Accepting new patients
Quincy Creek Emergency Physicians LLC Past Accepting new patients

Locations

23186 Blue Star Hwy
Quincy, FL 32351
Phone (850) 875-5977

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

14421 Baltimore Ave
#12202
Laurel, MD 20707
Phone (240) 786-6684

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

11804 Reisterstown Rd
#12302
Reisterstown, MD 21136
Phone (410) 870-5094

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

1220A E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 296-0018

Organizations & group practices 11

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": "1439596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1366818163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 N MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035533",
            "telephone_number": "850-385-2222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 CAPITAL MEDICAL BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084402",
            "telephone_number": "850-325-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "ANNA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-15",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.