Active NPI
Thomas Joseph Mezzanotte, MD
- Orthopaedic Trauma Physician
- Kissimmee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- ME99006
- Practice address
- 819 E Oak St Ste a
Kissimmee, FL 34744-5842 - Phone
- (407) 476-0780
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | ME99006 | FL | Primary |
| Orthopaedic Trauma Physician | 207XX0801X | 53480 | AL |
Addresses
Primary practice location
819 E Oak St Ste a
Kissimmee, FL 34744-5842
Mailing address
PO Box 370
Fortson, GA 31808-0370
Phone (706) 494-3171
Other practice location 1
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401
Other practice location 2
2105 E South Blvd
Montgomery, AL 36116-2409
Phone (334) 286-2991
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5909955 | Medicaid | NC | |
| AA29228552 | Other | SC | MEDICARE PTAN |
| 000000245847 | Other | SC | UNISON |
| 1774374 | Other | SC | CIGNA |
| 9975193 | Other | SC | AETNA |
| 013 | Other | SC | TRICARE |
| 055 | Other | SC | BCBS |
| 210718 | Other | SC | MEDCOST |
| 311898 | Medicaid | SC | |
| 122786700 | Medicaid | FL | |
| 20078496 | Other | SC | SELECT HEALTH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Georgetown University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
410 Lionel Way
Davenport, FL 33837-7809
Phone (844) 407-4070
700 W Oak St
Osceola Regional Medical Center
Kissimmee, FL 34741-4924
Phone (407) 846-2266
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53480 | AL | MD | Orthopaedic Trauma Physician |
| ME99006 | FL | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hughston Clinic Southeast PC | Orthopaedic Surgery | Current | Accepting new patients |
| Hughston Clinic Southeast PC | Current | Accepting new patients |
Locations
2173 Normandie Dr
Montgomery, AL 36111
Phone (334) 284-2355
2105 E South Blvd
Montgomery, AL 36116
Phone (334) 286-2842
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
3627 University Blvd S
Ste 550
Jacksonville, FL 32216
Phone (904) 379-5986
2285 N Central Ave
Unit 3
Kissimmee, FL 34741
Phone (407) 595-4983
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
819 E Oak St
Ste A
Kissimmee, FL 34744
Phone (407) 476-0780
1893 Kingsley Ave
Ste C
Orange Park, FL 32073
Phone (904) 375-8850
2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015
309 N Mangoustine Ave
Unit G
Sanford, FL 32771
Phone (321) 363-1754
1401 W Seminole Blvd
Fl Regi
Sanford, FL 32771
Phone (407) 302-2620
Interoperability endpoints
- thomas.mezzanotte.1@321.direct.athenahealth.com
Organizations & group practices 3
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
- Durable Medical Equipment & Medical Supplies
- Nashville, TN
- NPI 1770004863
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Heart of Florida
- General Acute Care Hospital
- Davenport, FL
- NPI 1801457510
-
dba HCA Florida Osceola Hospital
- General Acute Care Hospital
- Kissimmee, FL
- NPI 1689621450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1609841931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 370",
"city": "FORTSON",
"state": "GA",
"postal_code": "318080370",
"telephone_number": "706-494-3171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "819 E OAK ST STE A",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347445842",
"telephone_number": "407-476-0780"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-1401",
"fax_number": "321-434-1667",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2105 E South Blvd",
"address_purpose": "LOCATION",
"city": "Montgomery",
"state": "AL",
"postal_code": "361162409",
"country_code": "US",
"telephone_number": "334-286-2991",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEZZANOTTE",
"first_name": "THOMAS",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "FL",
"license": "ME99006",
"primary": true
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "AL",
"license": "53480",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909955",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "AA29228552",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000245847",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1774374",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9975193",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "013",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "055",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "210718",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "311898",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122786700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "20078496",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.