NPIMap

Organization Active NPI

Patients First Northampton Medical Center P a

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1942231683
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
HCCR1657 Issued in FL
Legal business name
PATIENTS FIRST NORTHAMPTON MEDICAL CENTER P A
Doing business as
Patients First Northampton Medical Center PA
Practice address
2907 Kerry Forest Pkwy
Tallahassee, FL 32309-6825
Phone
(850) 668-3380
Fax
(850) 668-3226
NPI assigned
Jul 5, 2006
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Authorized official

Name
Randy R. Reese, M.D.NPI 1083654693
Title
Medical Director
Phone
(850) 668-3380

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X HCCR1657 FL Primary

Addresses

Primary practice location

2907 Kerry Forest Pkwy
Tallahassee, FL 32309-6825

Mailing address

2907 Kerry Forest Pkwy
Tallahassee, FL 32309-6825
Phone (850) 668-3380

Other identifiers 2

IdentifierTypeStateIssuer
CL1424OtherFLRAILROAD MEDICARE PTAN
253891100MedicaidFL

Other names 1

  • Patients First Northampton Medical Center PA Doing business as

National Provider Directory

National Provider Directory

Locations

2907 Kerry Forest Pkwy
Tallahassee, FL 32309
Phone (850) 668-3380

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1942231683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2907 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096825",
            "telephone_number": "850-668-3380",
            "fax_number": "850-668-3226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323096825",
            "telephone_number": "850-668-3380",
            "fax_number": "850-668-3226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATIENTS FIRST NORTHAMPTON MEDICAL CENTER P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "850-668-3380",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "HCCR1657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "CL1424",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "253891100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Patients First Northampton Medical Center PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.