Organization Active NPI

Southern Vitreoretinal Associates, PL

  • Ophthalmology Physician
  • Tallahassee, FL
National Provider Identifier
1871665448
Registry record updated Jan 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SOUTHERN VITREORETINAL ASSOCIATES, PL
Practice address
2439 Care Dr
Tallahassee, FL 32308-4580
Phone
(850) 942-6700
Fax
(850) 942-5735
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2026

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

Authorized official

Name
Dr. Harold Logan Brooks, MDNPI 1831157890
Title
President
Phone
(850) 942-6700

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2439 Care Dr
Tallahassee, FL 32308-4580

Mailing address

2439 Care Dr
Tallahassee, FL 32308-4580
Phone (850) 942-6700

Other identifiers 1

IdentifierTypeStateIssuer
126268200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20070413000318 GA Part B Supplier - Clinic/Group Practice 8426153859 Receives reassigned benefits from 5 practitioners
Practice locations: Albany, GA; Americus, GA; Tifton, GA; Valdosta, GA
O20070605000485 FL Part B Supplier - Clinic/Group Practice 8426153859 Receives reassigned benefits from 6 practitioners
Practice locations: Marianna, FL; Panama City, FL; Perry, FL; Tallahassee, FL
O20150714000538 AL Part B Supplier - Clinic/Group Practice 8426153859 Receives reassigned benefits from 1 practitioner
Practice locations: Dothan, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1062439Southern Vitreoretinal Associates2439 Care Dr, Tallahassee, FL 32308Certificate of waiverApr 3, 2028

National Provider Directory

National Provider Directory

Locations

2577 Huntcliff Ln
Panama City, FL 32405
Phone (850) 763-7007

2575 Huntcliff Ln
Panama City, FL 32405
Phone (850) 785-6272

2709 Meredyth Dr
Ste 220
Albany, GA 31707
Phone (229) 889-8300

1506 Eager Dr
Albany, GA 31707
Phone (229) 889-8300

806 Central Ave N
Tifton, GA 31794
Phone (229) 386-0297

807 Central Ave N
Tifton, GA 31794

3563 N Crossing Cir
Ste A
Valdosta, GA 31602
Phone (229) 316-0207

3563 N Crossing Cir
Valdosta, GA 31602

225 Smithville Church Rd
Ste 800
Warner Robins, GA 31088
Phone (478) 987-0290

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769558400000",
    "number": "1871665448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2439 CARE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084580",
            "telephone_number": "850-942-6700",
            "fax_number": "850-942-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2439 CARE DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084580",
            "telephone_number": "850-942-6700",
            "fax_number": "850-942-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN VITREORETINAL ASSOCIATES, PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "LOGAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-942-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126268200",
            "state": "FL"
        }
    ],
    "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 Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.