Individual provider Active NPI

Janzen Cole Pigg, OD

  • Optometrist
  • Tallahassee, FL
National Provider Identifier
1801672175
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6754 Issued in FL
Practice address
2506 N Monroe St
Tallahassee, FL 32303-4026
Phone
(850) 385-0103
NPI assigned
Sep 4, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6754 FL Primary

Addresses

Primary practice location

2506 N Monroe St
Tallahassee, FL 32303-4026

Mailing address

2506 N Monroe St
Tallahassee, FL 32303-4026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251128000685 GA Practitioner - Optometry 8729570619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Leiv M Takle MD PCGroup PAC ID 2062400286, 5 clinicians

Practice addresses (Care Compare)

646 S 8TH St
Griffin, GA 30224-4214
Phone (770) 228-3836

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OPC6754FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Leiv M Takle MD PC Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Takle Eye Surgery Center LLC PastSince Dec 1, 2025 Accepting new patients
Sentry Anesthesia Management, LLC PastSince Dec 1, 2025 Accepting new patients

Locations

646 S 8th St
Griffin, GA 30224
Phone (770) 228-3836

1075 Bandy Pkwy
Ste 110
Locust Grove, GA 30248
Phone (770) 228-3836

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1693785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1801672175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 N MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 N MONROE ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034026",
            "telephone_number": "850-385-0103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIGG",
        "first_name": "JANZEN",
        "middle_name": "COLE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-04",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.