NPIMap

Individual provider Active NPI

Shaun E Laurie, M.D.

  • Internal Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1952344285
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME70462 Issued in FL
Practice address
1628 N Plaza Dr
Tallahassee, FL 32308-2300
Phone
(850) 309-1331
Fax
(850) 309-1332
NPI assigned
Jun 14, 2006
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME70462 FL Primary

Addresses

Primary practice location

1628 N Plaza Dr
Tallahassee, FL 32308-2300

Mailing address

1628 N Plaza Dr
Tallahassee, FL 32308-2300
Phone (850) 309-1331

Other identifiers 1

IdentifierTypeStateIssuer
250993800MedicaidFL

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
I20060127000197 FL Practitioner - Internal Medicine 4981618246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Florida College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1628 N Plaza Dr
Tallahassee, FL 32308-2300
Phone (850) 309-1331

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Health Care and Associates Current Accepting new patients
Shaun E Laurie Professional Association Internal Medicine CurrentSince Jan 1, 2006 Accepting new patients
Riverchase Operations LLC Past Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Harmony United Florida, LLC PastSince May 19, 2025 Accepting new patients
Earl B. Britt, M.D., P.a. Past Accepting new patients

Locations

124 Marriott Dr
Ste 104
Tallahassee, FL 32301
Phone (850) 326-2131

1628 N Plaza Dr
Tallahassee, FL 32308
Phone (850) 309-1331

Interoperability endpoints

  • Direct secure messaging: slaurie01@03262871.micromddirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Greenville Nursing and Rehab CenterGreenville, FL, CCN 105824 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF		 Dec 31, 2024
Aug 1, 2023
Dec 31, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Greenville Opco LLC
    • Skilled Nursing Facility
    • Greenville, FL
    • NPI 1801672670

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Organizations & group practices 6

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1952344285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 N PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323082300",
            "telephone_number": "850-309-1331",
            "fax_number": "850-309-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 N PLAZA DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323082300",
            "telephone_number": "850-309-1331",
            "fax_number": "850-309-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIE",
        "first_name": "SHAUN",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME70462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250993800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.