Individual provider Active NPI

Kennessa Hugger, M.D

  • Pediatrics Physician
  • Tallahassee, FL
National Provider Identifier
1952330748
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME81242 Issued in FL
Practice address
2623 Centennial Blvd.
Ste. 103
Tallahassee, FL 32308
Phone
(850) 877-6119
Fax
(850) 878-0148
NPI assigned
Jul 2, 2006
Last updated
Jan 9, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME81242 FL Primary

Addresses

Primary practice location

2623 Centennial Blvd.
Ste. 103
Tallahassee, FL 32308

Mailing address

PO Box 12427
Tallahassee, FL 32317-2427
Phone (850) 297-0114

Other identifiers 1

IdentifierTypeStateIssuer
260982700MedicaidFL

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241120004666 FL Practitioner - Pediatric Medicine 8729513247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6210 Samuel Wells Dr
Unit 1201
Jacksonville, FL 32216-9999
Phone (954) 397-3251

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation for Sickle Cell Disease Research CurrentSince Sep 1, 2024 Accepting new patients
Capital Pediatrics LLC Pediatrics CurrentSince Feb 23, 2025 Accepting new patients
Privia Medical Group Florida, LLC Past Accepting new patients
Foundation for Sickle Cell Disease Research Past Accepting new patients
Tallahassee Primary Care Associates, PA Pediatrics Past Accepting new patients

Locations

1685 S State Road 7
Ste 4
Hollywood, FL 33023
Phone (954) 459-4600

2056 Centre Pointe Ln
Ste B
Tallahassee, FL 32308

2623 Centennial Blvd
Ste 103
Tallahassee, FL 32308
Phone (850) 877-6119

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEDDD
  • Direct secure messaging: kennessa.hugger.1@8042.direct.athenahealth.com
  • Direct secure messaging: kennessahugger@tpca.allscriptsdirect.net

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1952330748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12427",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323172427",
            "telephone_number": "850-297-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 CENTENNIAL BLVD.",
            "address_2": "STE. 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-877-6119",
            "fax_number": "850-878-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGGER",
        "first_name": "KENNESSA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-02",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME81242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260982700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.