NPIMap

Individual provider Active NPI

Taylor Larson, DO

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1619505401
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20098 Issued in FL
Practice address
2770 Capital Medical Blvd Ste 200a
Tallahassee, FL 32308-8419
Phone
(850) 878-8235
NPI assigned
Mar 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20098 FL Primary

Addresses

Primary practice location

2770 Capital Medical Blvd Ste 200a
Tallahassee, FL 32308-8419

Mailing address

2770 Capital Medical Blvd Ste 200a
Tallahassee, FL 32308-8419
Phone (850) 878-8235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230912000349 FL Practitioner - Family Practice 4284056987 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Alabama College of Osteopathic Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Regional Healthcare LLCGroup PAC ID 4486724846, 20 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1910 Hillbrooke TRL
Suite 2
Tallahassee, FL 32311-7914
Phone (850) 878-2637

2600 Compass Rd
Glenview, IL 60026-8001

2626 Care Dr
Tallahassee, FL 32308-4489

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20098FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Regional Healthcare LLC CurrentSince Sep 1, 2023 Accepting new patients
Capital Regional Healthcare Family Medicine Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

2770 Capital Medical Blvd
Ste 200
Tallahassee, FL 32308
Phone (850) 671-5700

1910 Hillbrooke Trl
Ste 2
Tallahassee, FL 32311
Phone (850) 878-2637

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: taylor.larson@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1619505401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 200A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088419",
            "telephone_number": "850-878-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CAPITAL MEDICAL BLVD STE 200A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323088419",
            "telephone_number": "850-878-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TAYLOR",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-29",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "20098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.