Active NPI
Tallahassee Orthopedic Clinic III PL
- Durable Medical Equipment & Medical Supplies
- Thomasville, GA
National Provider Identifier
1871289009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TALLAHASSEE ORTHOPEDIC CLINIC III PL
- Doing business as
- Tallahassee Orthopedic Clinic
- Practice address
- 113 W Hansell St
Thomasville, GA 31792-6664 - Phone
- (229) 226-3060
- Fax
- (855) 460-8658
- NPI assigned
- Apr 12, 2023
- Organization subpart
- Yes
- Parent organization
- TALLAHASSEE ORTHOPEDIC CLINIC III PL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lori J Carter
- Title
- Business Office Director
- Phone
- (850) 219-1925
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary | ||
| Prosthetic/Orthotic Supplier | 335E00000X |
Addresses
Primary practice location
113 W Hansell St
Thomasville, GA 31792-6664
Mailing address
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
Other names 1
- Tallahassee Orthopedic Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240723002720 | GA | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 4284532755 | Practice locations: Thomasville, GA |
National Provider Directory
National Provider Directory- Tax ID family
- Tallahassee Orthopedic
- Part of
- Tallahassee Orthopedic
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Durable Medical Equipment & Medical Supplies
- Cairo, GA
- NPI 1033805270
-
- Medical Specialty Clinic/Center
- Thomasville, GA
- NPI 1205690807
-
- Clinic Pharmacy
- Thomasville, GA
- NPI 1275482523
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681257600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1694649600000",
"number": "1871289009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "850-877-8174",
"fax_number": "844-261-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 W HANSELL ST",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317926664",
"telephone_number": "229-226-3060",
"fax_number": "855-460-8658"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TALLAHASSEE ORTHOPEDIC CLINIC III PL",
"enumeration_date": "2023-04-12",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A",
"authorized_official_last_name": "CARTER",
"authorized_official_first_name": "LORI",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
"authorized_official_telephone_number": "850-219-1925"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
},
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tallahassee Orthopedic Clinic",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Tallahassee Orthopedic Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Thomasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.