Organization Active NPI

Internal Medicine and Pediatrics Associatesof Tallahassee Inc

  • General Practice Physician
  • Tallahassee, FL
National Provider Identifier
1629147228
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
INTERNAL MEDICINE AND PEDIATRICS ASSOCIATESOF TALLAHASSEE INC
Practice address
1983 Centre Pointe Blvd Ste 104
Tallahassee, FL 32308-7823
Phone
(850) 656-2006
Fax
(850) 656-2820
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Authorized official

Name
Yvette Mignon, MDNPI 1689743288
Title
President
Phone
(850) 656-2006

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1983 Centre Pointe Blvd Ste 104
Tallahassee, FL 32308-7823

Mailing address

1983 Centre Pointe Blvd Ste 104
Tallahassee, FL 32308-7823
Phone (850) 656-2006

Other identifiers 2

IdentifierTypeStateIssuer
266400300MedicaidFL
266400301MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090813000068 FL Part B Supplier - Clinic/Group Practice 7315091105 Receives reassigned benefits from 3 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

1965 Capital Cir NE
Ste 201
Tallahassee, FL 32308

1983 Centre Pointe Blvd
#102
Tallahassee, FL 32308

1983 Centre Pointe Blvd
Ste 104
Tallahassee, FL 32308
Phone (850) 210-0433

Practitioners & affiliated clinicians

Practitioners 5

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": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1629147228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1983 CENTRE POINTE BLVD STE 104",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087823",
            "telephone_number": "850-656-2006",
            "fax_number": "850-656-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1983 CENTRE POINTE BLVD STE 104",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323087823",
            "telephone_number": "850-656-2006",
            "fax_number": "850-656-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE AND PEDIATRICS ASSOCIATESOF TALLAHASSEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "MIGNON",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-656-2006",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266400300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266400301",
            "state": "FL"
        }
    ],
    "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 Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.