NPIMap

Organization Active NPI

North Florida Women's Care, P.a.

Doing business as North Florida Women's Care

  • Specialist
  • Tallahassee, FL
National Provider Identifier
1790801587
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH FLORIDA WOMEN'S CARE, P.A.
Doing business as
North Florida Women's Care
Practice address
1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647
Phone
(850) 877-7241
Fax
(850) 877-1338
NPI assigned
Mar 22, 2007
Last updated
Jul 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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

Authorized official

Name
Mr. William Hambsh, CPA
Title
Chief Executive Officer
Phone
(850) 877-7241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647

Mailing address

1401 Centerville Rd
Suite 202
Tallahassee, FL 32308-4647
Phone (850) 877-7241

Other practice location 1

1219 Hodges Dr
Tallahassee, FL 32308-4611
Phone (850) 877-1338

Other practice location 2

2617 Mitcham Dr Ste 101
Tallahassee, FL 32308-5479
Phone (850) 877-7241

Other practice location 3

110 NE 5th St
Carrabelle, FL 32322-3529
Phone (850) 877-7241

Other names 1

  • North Florida Women's Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040412001357 FL Part B Supplier - Clinic/Group Practice 0840284923 Receives reassigned benefits from 21 practitioners
Practice locations: Tallahassee, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1013615North Florida Women's Care1401 Centerville Rd Suite 202, Tallahassee, FL 32308Provider-performed microscopyJun 11, 2027
10D2042769North Florida Women's Care110 NE 5TH St, Carrabelle, FL 32322Provider-performed microscopyJun 18, 2028

National Provider Directory

National Provider Directory

Locations

110 NE 5th St
Carrabelle, FL 32322
Phone (850) 697-1118

1401 Centerville Rd
Ste 202
Tallahassee, FL 32308
Phone (850) 205-0393

1401 Centerville Rd
Ste 800
Tallahassee, FL 32308
Phone (850) 216-0120

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/28306/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626912000000",
    "number": "1790801587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 202",
            "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",
            "address_2": "SUITE 202",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084647",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1219 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084611",
            "country_code": "US",
            "telephone_number": "850-877-1338",
            "fax_number": "850-877-7241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2617 Mitcham Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323085479",
            "country_code": "US",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 NE 5th St",
            "address_purpose": "LOCATION",
            "city": "Carrabelle",
            "state": "FL",
            "postal_code": "323223529",
            "country_code": "US",
            "telephone_number": "850-877-7241",
            "fax_number": "850-877-1338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH FLORIDA WOMEN'S CARE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A",
        "authorized_official_last_name": "HAMBSH",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "850-877-7241",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Florida Women's Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Florida Women's Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.