Individual provider Active NPI

Peter C. Debelius-Enemark, M.D.

  • Psychiatry Physician
  • Tallahassee, FL
National Provider Identifier
1376593913
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME0061863 Issued in FL
Practice address
1407 M D LN Ste a
Tallahassee, FL 32308-5349
Phone
(850) 877-0635
Fax
(850) 205-0195
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME0061863 FL Primary

Addresses

Primary practice location

1407 M D LN Ste a
Tallahassee, FL 32308-5349

Mailing address

2606 Centennial PL
Tallahassee, FL 32308-0572
Phone (850) 205-0189

Other practice location 1

1407 M D Ln Ste B
Tallahassee, FL 32308-5349
Phone (850) 641-7961

Other practice location 2

2606 Centennial Pl
Tallahassee, FL 32308-0572
Phone (850) 205-0189

Other practice location 3

1616 Physicians Dr
Tallahassee, FL 32308-4619
Phone (850) 431-5105

Other identifiers 2

IdentifierTypeStateIssuer
262880500MedicaidFL
15126OtherFLBLUECROSSBLUESHEILD

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
I20120105000410 FL Practitioner - Psychiatry 1557537073 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jeffrey Ferraro, LLCGroup PAC ID 6608097308, 41 clinicians

Practice addresses (Care Compare)

2606 Centennial PL
Tallahassee, FL 32308-0572
Phone (850) 205-0189

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Peter Debelius-Enemark, LLC Psychiatry CurrentSince Jan 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Brain Stimulation Center, LLC CurrentSince Apr 10, 2024 Accepting new patients
Jeffrey Ferraro, LLC Psychiatry CurrentSince Jun 6, 2025 Accepting new patients
Tallahassee Primary Care Associates, PA PastSince Oct 1, 2004 Accepting new patients
Florida First Psychiatry Specialist LLC PastSince Jun 6, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1407 M D Ln
#B
Tallahassee, FL 32308
Phone (850) 205-0189

1407 M D Ln
#A
Tallahassee, FL 32308
Phone (850) 205-0189

2606 Centennial Pl
Tallahassee, FL 32308
Phone (850) 205-0189

Interoperability endpoints

  • Direct secure messaging: peterdebeliusenemark@tmhpp.allscriptsdirect.net

Organizations & group practices 8

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1376593913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2606 CENTENNIAL PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323080572",
            "telephone_number": "850-205-0189",
            "fax_number": "850-329-2903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 M D LN STE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085349",
            "telephone_number": "850-877-0635",
            "fax_number": "850-205-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1407 M D Ln Ste B",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085349",
            "country_code": "US",
            "telephone_number": "850-641-7961",
            "fax_number": "850-312-3983",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2606 Centennial Pl",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323080572",
            "country_code": "US",
            "telephone_number": "850-205-0189",
            "fax_number": "850-329-2903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1616 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084619",
            "country_code": "US",
            "telephone_number": "850-431-5105",
            "fax_number": "850-431-6105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEBELIUS-ENEMARK",
        "first_name": "PETER",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME0061863",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "262880500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHEILD",
            "identifier": "15126",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.