Stacia Kutter Groll, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME121509 Issued in FL

Practice address

2420 E Plaza Dr
Tallahassee, FL 32308-5353

Phone

(850) 701-0621

NPI assigned

Jun 1, 2011

Last updated

Mar 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Stacia Elizabeth Kutter Former name

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

Specialty

Family Practice

Education

Other, 2011

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)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Tallahassee, FL, CCN 107200
• Big Bend Hospice Inc Hospice, Tallahassee, FL, CCN 101523
• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

Merit-based Incentive Payment System (MIPS)

Final score

55.03 of 100Reported as group

Quality

80.54

Promoting interoperability

0

Improvement activities

20

Cost

77.9

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: staciagroll@telmedgrp.allscriptsdirect.net
• Direct secure messaging: staciagroll@tpca.allscriptsdirect.net

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.

• Tallahassee Medical Group, PLLC

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972265130
  Medicare reassignment Care Compare group NPD
• Tallahassee Primary Care Associates, PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972661262
  Medicare reassignment NPD
• Hospital Authority of the City of Bainbridge and Decatur County

  dba Memorial Hospital and Manor

  • Multi-Specialty Clinic/Center
  • Bainbridge, GA
  • NPI 1053388256
  NPD (past)

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

• Centerwell Health Services (Certified), Inc.

  dba Centerwell Home Health

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1982634101
  Care Compare affiliation Name & address match
• Big Bend Hospice, Inc.

  • Community Based Hospice Care Agency
  • Tallahassee, FL
  • NPI 1396746103
  Care Compare affiliation
• Tallahassee Memorial Healthcare Inc

  • General Acute Care Hospital
  • Tallahassee, FL
  • NPI 1437177664
  Care Compare affiliation

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1841584448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 E PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085353",
            "telephone_number": "850-701-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 E PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085353",
            "telephone_number": "850-701-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROLL",
        "first_name": "STACIA",
        "middle_name": "KUTTER",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-01",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME121509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACIA",
            "last_name": "KUTTER",
            "middle_name": "ELIZABETH",
            "prefix": "MISS",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Joy Grimes, LMT
• Malia Sushin Grindey
• Kara Grissom
• Kaitlyn Maree Griswold
• Patricia Eileen Gritta, DC
• Kimberly E Gromatski, L.M.T.
• Malayika Safi Groomes-Powell, APRN
• Benjamin James Grooters, DDS
• Joshua M Gross, PH.D.
• Kimberly J Gross, PA-C

• Family Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.