Individual provider Active NPI

Arasi Thangavelu, MD

  • Emergency Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1548255177
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
051771 Issued in GA
Practice address
1400 Village Square Blvd Ste 3-258
Tallahassee, FL 32312-1250
Phone
(850) 545-9376
NPI assigned
Sep 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 051771 GA Primary

Addresses

Primary practice location

1400 Village Square Blvd Ste 3-258
Tallahassee, FL 32312-1250

Mailing address

1400 Village Square Blvd Ste 3-258
Tallahassee, FL 32312-1250
Phone (850) 518-4325

Other identifiers 6

IdentifierTypeStateIssuer
000954159DMedicaidGA
52008844-003OtherGABCBS
000954159GMedicaidGA
336307OtherGAWELLCARE
52008844002OtherGABCBS
930123503OtherGARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20080611000454 GA Practitioner - Emergency Medicine 3870664311 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
051771GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Medical Clinic, PLLC CurrentSince Dec 27, 2020 Accepting new patients
South Georgia Emergency Medicine Associates PC Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Tift Regional Health System Inc CurrentSince Jan 1, 2014 Accepting new patients
Southland Emergency Medical Services, L.L.C Emergency Medicine CurrentSince Jul 1, 2014 Accepting new patients
Worth Lake Emergency Physicians Emergency Medicine Past Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine Past Accepting new patients
Southwestern Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

1400 Village Square Blvd
Ste 3258
Tallahassee, FL 32312
Phone (850) 545-9376

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

200 Perry House Rd
Fitzgerald, GA 31750
Phone (229) 424-1461

903 N Court St
Quitman, GA 31643
Phone (229) 263-4531

915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575

901 18th St E
Tifton, GA 31794
Phone (229) 353-6208

1622 Madison Ave
Tifton, GA 31794
Phone (229) 387-8061

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

Organizations & group practices 7

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1548255177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE SQUARE BLVD STE 3-258",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121250",
            "telephone_number": "850-518-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VILLAGE SQUARE BLVD STE 3-258",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323121250",
            "telephone_number": "850-545-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANGAVELU",
        "first_name": "ARASI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "051771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000954159D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52008844-003",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000954159G",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "336307",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "52008844002",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930123503",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.