Organization Active NPI

Root & Branch Wellness LLC

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1447064548
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROOT & BRANCH WELLNESS LLC
Practice address
3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277
Phone
(850) 325-6005
Fax
(850) 755-5979
NPI assigned
Feb 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Dr. William C Fleming, DONPI 1407318041
Title
Physician
Phone
(850) 325-6005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277

Mailing address

3606 Maclay Blvd S Ste 102
Tallahassee, FL 32312-1277
Phone (850) 325-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250325001650 FL Part B Supplier - Clinic/Group Practice 5991225575 Receives reassigned benefits from 2 practitioners
Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2338577Root & Branch Wellness LLC3606 Maclay Blvd South, Suite 102, Tallahassee, FL 32312Certificate of waiverFeb 11, 2028

National Provider Directory

National Provider Directory

Locations

3606 Maclay Blvd S
Ste 102
Tallahassee, FL 32312
Phone (850) 877-1162

1634 N Plaza Dr
Tallahassee, FL 32308
Phone (850) 296-2278

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1447064548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD S STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121277",
            "telephone_number": "850-325-6005",
            "fax_number": "850-755-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3606 MACLAY BLVD S STE 102",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121277",
            "telephone_number": "850-325-6005",
            "fax_number": "850-755-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT & BRANCH WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-06",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-325-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.