Active NPI
Gillis Lee Langston, PA
- Physician Assistant
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9112995
- Practice address
- 3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470 - Phone
- (850) 877-8174
- Fax
- (844) 261-6839
- NPI assigned
- Feb 3, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9112995 | FL | Primary |
Addresses
Primary practice location
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Mailing address
3334 Capital Medical Blvd Ste 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
Other practice location 1
2011 Harrison Ave
Panama City, FL 32405-4545
Phone (850) 691-4188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3334 Capital Medical Blvd
Suite 400
Tallahassee, FL 32308-4470
Phone (850) 877-8174
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 76.5 of 100
- Quality
- 47.27
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.24
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9112995 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tallahassee Orthopedic Clinic III, P.L. | Current | Accepting new patients | |
| Tallahassee Orthopedic Clinic III PL | Current | Accepting new patients | |
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Locations
3051 6th St
Marianna, FL 32446
Phone (850) 482-0017
2011 Harrison Ave
Panama City, FL 32405
Phone (850) 691-4188
1002 N Arnold Rd
Unit 301
Panama City Beach, FL 32413
Phone (850) 238-4200
1002 N Arnold Rd
Panama City Beach, FL 32413
803 W Main St
Perry, FL 32347
Phone (850) 584-7078
3334 Capital Medical Blvd
Ste 400
Tallahassee, FL 32308
3334 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 210-1808
Interoperability endpoints
- gillis.langston.1@18802.direct.athenahealth.com
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.
-
dba Tallahassee Orthopedic Clinic
- Medical Specialty Clinic/Center
- Tallahassee, FL
- NPI 1194778050
-
- Durable Medical Equipment & Medical Supplies
- Panama City Beach, FL
- NPI 1497617948
-
dba Memorial Hospital and Manor
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Capital Hospital
- General Acute Care Hospital
- Tallahassee, FL
- NPI 1790732303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749600000000",
"number": "1942831417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "850-877-8174",
"fax_number": "844-261-6839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3334 CAPITAL MEDICAL BLVD STE 400",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084470",
"telephone_number": "850-877-8174",
"fax_number": "844-261-6839"
}
],
"practiceLocations": [
{
"address_1": "2011 Harrison Ave",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "324054545",
"country_code": "US",
"telephone_number": "850-691-4188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANGSTON",
"first_name": "GILLIS",
"middle_name": "LEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-03",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9112995",
"primary": true
}
],
"identifiers": [],
"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 Jun 11, 2025; 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.