Active NPI
Stacy Temkin-Smith, D.O.
- Family Medicine Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS9742
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 660147200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Memorial Healthcare Inc | Current | Accepting new patients | |
| Campbellton-Graceville Hospital | Current | Accepting new patients | |
| Southland Hospitalist at Ozark, PL | Emergency Medicine | Current | Accepting new patients |
| Southland Hospitlalist at Chipley, PL. | Current | Accepting new patients | |
| Tallahassee Memorial Healthcare Inc | Family Medicine | Current | Accepting new patients |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| Tallahassee Memorial Healthcare Inc | Current | 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
- stemkinsmith21685@tallahasseememorial.direct-ci.com
- 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.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Hospitalist Physician
- Chipley, FL
- NPI 1801213020
-
- Emergency Medicine Physician
- Ozark, AL
- NPI 1750608949
-
- Critical Access Hospital
- Graceville, FL
- NPI 1205886280
-
- Family Medicine Physician
- Tallahassee, FL
- NPI 1366293102
-
- Clinical Cardiac Electrophysiology Physician
- Tallahassee, FL
- NPI 1396365623
-
- Emergency Medicine Physician
- Tupelo, MS
- NPI 1891724035
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1437177664
-
- Skilled Nursing Facility
- Tallahassee, FL
- NPI 1649387119
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.