NPIMap

Individual provider Active NPI

Gary Winchester, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1831107176
Registry record updated Oct 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME27815 Issued in FL
Practice address
1511 Surgeons Dr
Tallahassee, FL 32308-4632
Phone
(850) 878-6134
NPI assigned
Aug 3, 2006
Last updated
Oct 5, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME27815 FL Primary

Addresses

Primary practice location

1511 Surgeons Dr
Tallahassee, FL 32308-4632

Mailing address

PO Box 12427
Tallahassee, FL 32317-2427
Phone (850) 297-0114

Other identifiers 1

IdentifierTypeStateIssuer
39525100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100218000204 FL Practitioner - Family Practice 8820144165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tallahassee Medical Group, PLLCGroup PAC ID 7214321736, 14 clinicians

Practice addresses (Care Compare)

1511 Surgeons Dr
Tallahassee, FL 32308-4680
Phone (850) 878-6134

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Medical Group, PLLC Family Medicine CurrentSince May 15, 2023 Accepting new patients

Locations

1511 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 701-0695

1511 Surgeons Dr
Ste A
Tallahassee, FL 32308
Phone (850) 294-0114

Interoperability endpoints

  • Direct secure messaging: garywinchester@telmedgrp.allscriptsdirect.net

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Tallahassee Memorial Healthcare IncTallahassee, FL, CCN 100135 Hospital Corporate Director Oct 1, 2011
Tallahassee Memorial Behavior Health CenterTallahassee, FL, CCN 10S135 Hospital Corporate Director Oct 1, 2011
Tallahassee Memorial Hospital Extended CareTallahassee, FL, CCN 105158 Skilled nursing facility Corporate Director Oct 1, 2011
TMH Physician Partners, BlountstownBlountstown, FL, CCN 103997 Rural health clinic Corporate Director Oct 1, 2011
TMH Physician Partners, QuincyQuincy, FL, CCN 103429 Rural health clinic Corporate Director Oct 1, 2011
TMH Physician Parnters, WakullaCrawfordville, FL, CCN 103428 Rural health clinic Corporate Director Oct 1, 2011
Tallahassee Memorial Family Medicine MonticelloMonticello, FL, CCN 103409 Rural health clinic Corporate Director Oct 1, 2011

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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

Hospital & facility affiliations 4

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1831107176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12427",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323172427",
            "telephone_number": "850-297-0114",
            "fax_number": "850-297-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SURGEONS DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084632",
            "telephone_number": "850-878-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINCHESTER",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME27815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39525100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.