Individual provider Active NPI

Brian Nicholas Kacheris, MD

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1922633023
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME166313 Issued in FL
Practice address
1115 W Call St
Tallahassee, FL 32304-3556
Phone
(850) 644-1855
NPI assigned
Mar 9, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 102192 GA
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X ME166313 FL Primary

Addresses

Primary practice location

1115 W Call St
Tallahassee, FL 32304-3556

Mailing address

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 431-5430

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241121000014 FL Practitioner - Family PracticePractitioner - Emergency Medicine 0547664591 Reassigns benefits to 5 organizations
I20250220000258 GA Practitioner - Family Practice 0547664591 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians

Practice addresses (Care Compare)

3711 N Hwy 231
Panama City, FL 32404-9745
Phone (850) 772-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Florida Healthcare, Inc Current Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Feb 1, 2025 Accepting new patients
Southland Bainbridge Hospitalist Group, LLC CurrentSince Mar 3, 2025 Accepting new patients
Emergency Medicine Services of FL, LLC CurrentSince Jan 15, 2025 Accepting new patients
Northwest Florida Healthcare, Inc. CurrentSince Oct 5, 2024 Accepting new patients
Southland Consolidated Emergency Services, LLC CurrentSince Jan 6, 2025 Accepting new patients
Florida Medical Practice Plan Inc CurrentSince Mar 16, 2020 Accepting new patients
Southland Emergency Medical Services, L.L.C CurrentSince Mar 3, 2025 Accepting new patients
Northwest Florida Healthcare, Inc CurrentSince Oct 5, 2024 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients

Locations

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

1360 Brickyard Rd
Chipley, FL 32428
Phone (850) 415-8300

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

449 W 23rd St
Fl Gulf
Panama City, FL 32405
Phone (813) 873-6400

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

1115 W Call St
Tallahassee, FL 32304
Phone (850) 644-1543

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

1155 5th St SE
Cairo, GA 39828
Phone (229) 226-3060

90 E Stephens St
Camilla, GA 31730
Phone (229) 200-4950

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: bkacheris115341@uihealth.direct-ci.com
  • Direct secure messaging: bkacheris21946@tallahasseememorial.direct-ci.com

Organizations & group practices 11

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 1

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": "1583712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1922633023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614",
            "telephone_number": "850-431-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 W CALL ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323043556",
            "telephone_number": "850-644-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHERIS",
        "first_name": "BRIAN",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-09",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "102192",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME166313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.