Individual provider Active NPI

Stacy Temkin-Smith, D.O.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1639103559
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS9742 Issued in FL
Practice address
1609 Medical Dr
Rehabilitation Center
Tallahassee, FL 32308-4617
Phone
(850) 431-5440
Fax
(850) 431-6322
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 18836 MS
Family Medicine Physician 207Q00000X OS9742 FL Primary

Addresses

Primary practice location

1609 Medical Dr
Rehabilitation Center
Tallahassee, FL 32308-4617

Mailing address

1609 Medical Dr
Rehabilitation Center
Tallahassee, FL 32308-4617
Phone (850) 431-5440

Other identifiers 1

IdentifierTypeStateIssuer
660147200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070112000042 FL Practitioner - Family PracticePractitioner - General PracticePractitioner - Internal MedicinePractitioner - Osteopathic Manipulative MedicinePractitioner - Emergency Medicine 3476553660 Reassigns benefits to 3 organizations
I20160602001694 AL Practitioner - Family Practice 3476553660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine, Internal Medicine, Osteopathic Manipulative Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-4997

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Campbellton-Graceville Hospital Current Accepting new patients
Southland Hospitalist at Ozark, PL Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Southland Hospitlalist at Chipley, PL. CurrentSince May 1, 2014 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Jun 21, 2017 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Apr 1, 2017 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Jun 21, 2017 Accepting new patients
North Ms Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

126 Hospital Ave
Ozark, AL 36360
Phone (334) 445-4803

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

1360 Brickyard Rd
Fl Co
Chipley, FL 32428
Phone (850) 638-1610

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

1609 Physicians Dr
Tallahassee, FL 32308
Phone (850) 431-4243

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1609 Medical Dr
Tallahassee, FL 32308
Phone (850) 431-5440

1309 Thomasville Rd
Tallahassee, FL 32303
Phone (850) 431-5910

Interoperability endpoints

  • Direct secure messaging: stemkinsmith21685@tallahasseememorial.direct-ci.com
  • Direct secure messaging: stemkin@direct.cghospital.org

Organizations & group practices 8

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 2

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1639103559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 MEDICAL DR",
            "address_2": "REHABILITATION CENTER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084617",
            "telephone_number": "850-431-5440",
            "fax_number": "850-431-6322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 MEDICAL DR",
            "address_2": "REHABILITATION CENTER",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084617",
            "telephone_number": "850-431-5440",
            "fax_number": "850-431-6322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMKIN-SMITH",
        "first_name": "STACY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "18836",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS9742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "660147200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.