St George Walk in Clinic

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ST GEORGE WALK IN CLINIC

Practice address

2709 Killarney Way Ste 3
Tallahassee, FL 32309-6201

Phone

(850) 630-3030

Fax

(850) 999-8866

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Samia Alice Kozman, MD

Title

Medical Doctor

Phone

(850) 630-3030

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Samia Saba Kozman, M.D.

  • Family Medicine Physician
  • Defuniak Springs, FL
  • NPI 1033440946
  NPD

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1518728534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 KILLARNEY WAY STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096201",
            "telephone_number": "850-630-3030",
            "fax_number": "850-999-8866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 KILLARNEY WAY STE 3",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096201",
            "telephone_number": "850-630-3030",
            "fax_number": "850-999-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST GEORGE WALK IN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "KOZMAN",
        "authorized_official_first_name": "SAMIA",
        "authorized_official_middle_name": "ALICE",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "850-630-3030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spurgeon Walter McWilliams, M.D. P.a.
• Richard Jason Spurlock, CRNA
• Kenneth George Spy, LAT, ATC
• Katie Squier
• St George Healing Hands LLC
• Donna J St Hillier, PHD
• Daphne St Juste
• Louis St Petery, M.D.
• Joanna St. John, RD
• Rylee Staats

• General Practice Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.