Justine Giles Bedolla, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

ME167708 Issued in FL

Practice address

1401 Centerville Rd
Tallahassee, FL 32308-4647

Phone

(508) 777-2418

Fax

(850) 877-1338

NPI assigned

Mar 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

Florida State University College of Medicine, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Florida Women's Care, P.a.Group PAC ID 0840284923, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/28306/brand/1/csg/1/fhir/r4
• Direct secure messaging: justine.bedolla@hca8.eclinicaldirectplus.com
• Direct secure messaging: jbedolla37827@tallahasseememorial.direct-ci.com
• Direct secure messaging: justine.bedolla.1@28306.direct.athenahealth.com

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.

• North Florida Women's Care, P.a.

  dba North Florida Women's Care

  • Specialist
  • Tallahassee, FL
  • NPI 1790801587

  Obstetrics & Gynecology

  Medicare reassignment Care Compare group NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1659909190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "508-777-2418",
            "fax_number": "850-877-1338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOLLA",
        "first_name": "JUSTINE",
        "middle_name": "GILES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME167708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBGYN",
            "identifier": "ME167708",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME167708",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Owings Becker, M.D.
• Stacy Beckford
• Joseph P Beckham, DPT
• Devin Monique Beckwith
• Zoe Nicole Bedell
• Donald C. Beeckler, M.D.
• Barbara N Beggs
• Kathryn M. Beggs, O.D.
• Behavior Management Consultants, Inc
• Behavioral Health Associates, Inc.

• Obstetrics & Gynecology Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.

Verify at the official NPI Registry.