Active NPI
Magnolia Pediatrics Group LLC
- Pediatrics Physician
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0S 4802
- Legal business name
- MAGNOLIA PEDIATRICS GROUP LLC
- Practice address
- 111 S Magnolia Dr
Suite 11
Tallahassee, FL 32301-2973 - Phone
- (850) 878-5322
- NPI assigned
- May 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd A Patterson, DO
- Title
- President
- Phone
- (850) 222-4801
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0S 4802 | FL | Primary |
Addresses
Primary practice location
111 S Magnolia Dr
Suite 11
Tallahassee, FL 32301-2973
Mailing address
1318 N Monroe St
Suite E
Tallahassee, FL 32303-5597
National Provider Directory
National Provider Directory- Tax ID family
- Magnolia Pediatrics Group
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Nurse Practitioner
- Tallahassee, FL
- NPI 1134679442
Locations
1318 N Monroe St
Ste E
Tallahassee, FL 32303
111 S Magnolia Dr
Ste 11
Tallahassee, FL 32301
Phone (850) 878-5322
Interoperability endpoints
- https://api.platform.athenahealth.com/7553/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Tallahassee, FL
- NPI 1861459463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369180800000",
"number": "1831535442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 N MONROE ST",
"address_2": "SUITE E",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323035597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S MAGNOLIA DR",
"address_2": "SUITE 11",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323012973",
"telephone_number": "850-878-5322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAGNOLIA PEDIATRICS GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-22",
"last_updated": "2013-05-22",
"status": "A",
"authorized_official_last_name": "PATTERSON",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "850-222-4801",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "FL",
"license": "0S 4802",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.