NPIMap

Individual provider Active NPI

Paul Frederick Hartsfield, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1912109166
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME 102459 Issued in FL
Practice address
1843 Fiddler CT
Tallahassee, FL 32308-4450
Phone
(850) 878-5500
Fax
(850) 878-5522
NPI assigned
Jun 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME 102459 FL Primary

Addresses

Primary practice location

1843 Fiddler CT
Tallahassee, FL 32308-4450

Mailing address

P.O. Box 12427
Tallahassee, FL 32317
Phone (850) 297-0114

Other identifiers 1

IdentifierTypeStateIssuer
000611200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090219000436 FL Practitioner - Family Practice 0941365274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
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
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

1511 Surgeons Dr
Tallahassee, FL 32308-4680
Phone (850) 878-6134

1843 Fiddler CT
Tallahassee, FL 32308-4450
Phone (850) 878-6134

5103 Cold Harbor Dr
Tallahassee, FL 32312-4148
Phone (850) 270-2159

Hospital & facility affiliations

  • Suncrest Omni Home health agency, Tallahassee, FL, CCN 109670
  • Enhabit Home Health Home health agency, Blountstown, FL, CCN 109153
  • Centerwell Home Health Home health agency, Tallahassee, FL, CCN 107200
  • Concierge Home Care Home health agency, Tallahassee, FL, CCN 687141
  • NHC Homecare Home health agency, Crawfordville, FL, CCN 107407
  • Big Bend Hospice Inc Hospice, Tallahassee, FL, CCN 101523
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135
  • Madison County Memorial Hospital Hospital, Madison, FL, CCN 101311
  • Doctors Memorial Hospital Inc Hospital, Perry, FL, CCN 101314

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 102459FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Medical Group, PLLC Family Medicine CurrentSince May 15, 2023 Accepting new patients
Tmgim PLLC Family Medicine Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

1511 Surgeons Dr
Tallahassee, FL 32308
Phone (850) 701-0695

1843 Fiddler Ct
Tallahassee, FL 32308
Phone (850) 878-5500

1511 Surgeons Dr
Ste A
Tallahassee, FL 32308
Phone (850) 702-9027

Interoperability endpoints

  • Direct secure messaging: paulhartsfield@telmedgrp.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1912109166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 12427",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32317",
            "telephone_number": "850-297-0114",
            "fax_number": "850-297-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 FIDDLER CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084450",
            "telephone_number": "850-878-5500",
            "fax_number": "850-878-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTSFIELD",
        "first_name": "PAUL",
        "middle_name": "FREDERICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-01",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME 102459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000611200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.