Philbert J Ford, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME 91513 Issued in FL

Practice address

2009 Miccosukee Rd
Tallahassee, FL 32308-5359

Phone

(850) 942-2299

Fax

(850) 942-0322

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL, GA2 enrollments

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 2

Specialty

Infectious Disease

Education

Medical University of South Carolina College of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Southeastern Center for Infectious Diseases PAGroup PAC ID 5799888376, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Tallahassee, FL, CCN 107200
• Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
• Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: philbertford@cphwc.allscriptsdirect.net

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

• Southeastern Center for Infectious Diseases PA

  • Specialist
  • Tallahassee, FL
  • NPI 1982747838

  GA

  Medicare reassignment Care Compare group NPD Authorized official
• Philbert J. Ford, M.D., PA

  • Internal Medicine Physician
  • Tallahassee, FL
  • NPI 1366751471
  NPD (past) Authorized official
• Eric Nicholson, MD, PA

  • Infectious Disease Physician
  • Tallahassee, FL
  • NPI 1952602450
  NPD (past)
• Tallahassee Primary Care Associates, PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972661262
  NPD (past)
• Hospital Authority of the City of Bainbridge and Decatur County

  • 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.

  • Home Health Agency
  • Tallahassee, FL
  • NPI 1982634101
  Care Compare affiliation Name & address match
• Doctors Memorial Hospital Inc

  • Critical Access Hospital
  • Perry, FL
  • NPI 1427092006
  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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1891711776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085359",
            "telephone_number": "850-942-2299",
            "fax_number": "850-942-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2009 MICCOSUKEE RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085359",
            "telephone_number": "850-942-2299",
            "fax_number": "850-942-0322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "PHILBERT",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME 91513",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME91513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2752263",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise B Forbes, ARNP
• Lawanda Ford-Johnson, PSY.D.
• Jerry Glen Ford, MD
• Margaret Grace Ford, MT-BC
• Michael John Ford, M.D.
• Samantha Nicole Fordham, M.S., OTR/L
• Kim Forehand-Van Der Linde, PHD, LMT
• Melissa Kay Forehand, LMT
• Jason Forjet, PA
• Ashley Paige Forker

• Specialist in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.