Nicodemo Macri, M.D.
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Tallahassee, FL
NPI 1790735132 · NPPES record last updated Oct 2, 2025
Key facts
- NPI
- 1790735132
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- ME68962 (FL)
- Practice address
- 2255 Centerville Rd
Tallahassee, FL 32308 - Phone
- (850) 386-4054
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- State University of Ny Upstate Medical University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrated Rehab Consultants Florida PLLC
Practice addresses (Care Compare)
5627 9TH St E
Manatee Springs Rehabilitation
Bradenton, FL 34203-6105
Phone (941) 753-8941
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.11 of 100
- Quality
- 70.72
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191008002549 | FL | Practitioner - Physical Medicine and Rehabilitation | 4183643638 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME68962 | FL | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehab Consultants Florida, PLLC | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| South Georgia Physical Medicine and Rehabilitation | Past |
Accepting new patients | |
| Archbold Medical Group, Inc. | Past | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
5627 9th St E
Bradenton, FL 34203
Phone (941) 739-4432
3648 University Blvd S
Jacksonville, FL 32216
Phone (904) 345-7185
610 E Bella Vista St
Lakeland, FL 33805
Phone (863) 688-8591
5725 NW 186th St
Miami Gardens, FL 33015
Phone (305) 625-9587
170 N Center St
Ormond Beach, FL 32174
Phone (386) 672-0900
9035 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 395-9520
7045 Evergreen Woods Trl
Spring Hill, FL 34608
Phone (352) 596-8371
2255 Centerville Rd
Tallahassee, FL 32308
Phone (850) 386-4054
1675 Riggins Rd
Tallahassee, FL 32308
Phone (850) 656-4800
3333 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 877-2828
3101 Ginger Dr
Tallahassee, FL 32308
Phone (850) 877-2177
6700 W Commercial Blvd
Tamarac, FL 33319
Phone (888) 253-3636
1026 Albee Farm Rd
Venice, FL 34285
Phone (941) 484-0425
1310 37th St
Vero Beach, FL 32960
Phone (772) 569-5107
2300 Village Blvd
West Palm Beach, FL 33409
Phone (561) 478-1800
401 N Michigan Ave
Ste 1200
Chicago, IL 60611
Phone (224) 496-6940
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | ME68962 | FL | Yes |
Addresses
Primary practice location
2255 Centerville Rd
Tallahassee, FL 32308
Mailing address
6218 Pine Fair Way
Tallahassee, FL 32309-2051
Phone (850) 386-4054
Other practice location 1
3333 Capital Medical Blvd
Tallahassee, FL 32308-4415
Phone (229) 226-9412
Other providers in Tallahassee, FL
- Leeann N Mackillop
- Eleanor Mackinnon
- Johanna V. Mackinnon
- Randi Mackintosh
- Joni Mooney Macri
- Frances Macvicar
- Rebecca Maddox
- Jordan Thomas Mader
- Divya Madhavarapu
- Machelle Denine Madsen Thompson
All providers in Tallahassee, FL · Physical Medicine & Rehabilitation Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.