Organization Active NPI

North Meridian Medical Services Corporation

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1760740237
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME69180 Issued in FL
Legal business name
NORTH MERIDIAN MEDICAL SERVICES CORPORATION
Practice address
12449 Chimney Lane
Tallahassee, FL 32312-0961
Phone
(229) 293-0037
Fax
(229) 293-0701
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Authorized official

Name
Dr. Daniel B Perkins, M.D.NPI 1124087556
Title
Physician
Phone
(229) 293-0037

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X ME69180 FL Primary

Addresses

Primary practice location

12449 Chimney Lane
Tallahassee, FL 32312-0961

Mailing address

12449 Chimney Lane
Tallahassee, FL 32312-0961
Phone (229) 293-0037

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121015000077 FL Part B Supplier - Clinic/Group Practice 2769631456 Receives reassigned benefits from 6 practitioners
Practice locations: Tallahassee, FL; Madison, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1760740237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12449 CHIMNEY LANE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323120961",
            "telephone_number": "229-293-0037",
            "fax_number": "229-293-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12449 CHIMNEY LANE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323120961",
            "telephone_number": "229-293-0037",
            "fax_number": "229-293-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MERIDIAN MEDICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "PERKINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "229-293-0037",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME69180",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 4, 2013; 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.