Paul Modafferi, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9188795 Issued in FL

Practice address

3445 Bannerman Rd
Tallahassee, FL 32312-7052

Phone

(850) 878-8235

NPI assigned

Dec 18, 2014

Last updated

May 11, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital Regional Healthcare LLCGroup PAC ID 4486724846, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.modafferi@hca5.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Regional Healthcare LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Tallahassee, FL
  • NPI 1417127499
  Medicare reassignment Care Compare group NPD
• Capital Regional Healthcare

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1518968551
  NPD (past)
• Capital Regional Medical Group

  • Preferred Provider Organization
  • Tallahassee, FL
  • NPI 1790181550
  NPD (past)
• Dinor PC

  • Geriatric Medicine (Family Medicine) Physician
  • Tallahassee, FL
  • NPI 1659980381
  NPD (past)
• 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": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1760880082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3445 BANNERMAN RD STE 100",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323127053",
            "telephone_number": "954-445-7760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3445 BANNERMAN RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323127052",
            "telephone_number": "850-878-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODAFFERI",
        "first_name": "PAUL",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-12-18",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9188795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veta Maria Mobley-Johnson, MD
• Christin Carter Mobley
• Jada Lyndsey Mobley
• Kyle Mobley, MD
• Rachel Elizabeth Mock, LMHC
• Paul Micheal Mode
• Sheila Jane Modi, M.D.
• Traci A Modrzejewski, LMT
• Neisha Mohess, M.D.
• Rachel Mohler, MS, RDN, LDN

• Family Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.