Organization Active NPI

Tallahassee Spinal Care PLLC

  • Chiropractor
  • Tallahassee, FL
National Provider Identifier
1770007627
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH12093 Issued in FL
Legal business name
TALLAHASSEE SPINAL CARE PLLC
Practice address
2155 Centerville PL
Tallahassee, FL 32308-4356
Phone
(850) 222-1171
NPI assigned
Aug 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Dr. Levi Colt Wainwright, DCNPI 1164845657
Title
Ceo
Phone
(386) 590-7487

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH12093 FL Primary

Addresses

Primary practice location

2155 Centerville PL
Tallahassee, FL 32308-4356

Mailing address

2155 Centerville PL
Tallahassee, FL 32308-4356
Phone (850) 222-1171

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171106000912 FL Part B Supplier - Clinic/Group Practice 1052677127 Receives reassigned benefits from 2 practitioners
Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

1213 N Monroe St
Tallahassee, FL 32303
Phone (850) 222-1171

2155 Centerville Pl
Tallahassee, FL 32308
Phone (386) 590-7487

Practitioners & affiliated clinicians

Practitioners 3

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": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1770007627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 CENTERVILLE PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084356",
            "telephone_number": "850-222-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 CENTERVILLE PL",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084356",
            "telephone_number": "850-222-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE SPINAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "WAINWRIGHT",
        "authorized_official_first_name": "LEVI",
        "authorized_official_middle_name": "COLT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-590-7487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12093",
            "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 Jan 6, 2025; 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.