Individual provider Active NPI

Mark E Cannella

  • Anesthesiology Physician
  • Tallahassee, FL
National Provider Identifier
1821179987
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME 95603 Issued in FL
Practice address
1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone
(850) 461-1155
NPI assigned
Oct 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X TRN 7086 FL
Anesthesiology Physician 207L00000X ME 95603 FL Primary

Addresses

Primary practice location

1300 Miccosukee Rd
Tallahassee, FL 32308-5054

Mailing address

1436 NW 100TH Ter
Gainesville, FL 32606-8020
Phone (352) 332-6712

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070921000476 FL Practitioner - Anesthesiology 7517051436 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesiology Associates of Tallahassee IncGroup PAC ID 3476446014, 133 clinicians

Practice addresses (Care Compare)

2629 Welaunee Blvd
Tallahassee, FL 32308-4697
Phone (954) 939-5000

Hospital & facility affiliations

  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
  • Vail Health Hospital Hospital, Vail, CO, CCN 060096

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 95603FLMDAnesthesiology Physician
TRN 7086FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology Current Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Dec 1, 2013 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Anesthesiology CurrentSince Jul 1, 2007 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Jan 29, 2020 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
Anesthesiology Associates of Tallahassee Inc Anesthesiology CurrentSince Jul 1, 2007 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Dec 1, 2013 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Anesthesiology CurrentSince Jan 29, 2020 Accepting new patients
Anesthesiology Associates of Tallahassee Inc Anesthesiology Past Accepting new patients

Locations

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

4500 Newberry Rd
Gainesville, FL 32607
Phone (352) 367-2310

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

2173 Centerville Pl
Ste A
Tallahassee, FL 32308

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

2629 Welaunee Blvd
Tallahassee, FL 32308
Phone (850) 877-4688

1608 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 431-6200

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1821179987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1436 NW 100TH TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326068020",
            "telephone_number": "352-332-6712",
            "fax_number": "530-484-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085054",
            "telephone_number": "850-461-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNELLA",
        "first_name": "MARK",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "TRN 7086",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 95603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.