Individual provider Active NPI

Joseph M Mazziotta, M.D.

  • Family Medicine Physician
  • Tallahassee, FL
National Provider Identifier
1952375974
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME65010 Issued in FL
Practice address
1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone
(850) 431-5714
Fax
(850) 431-6403
NPI assigned
Feb 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME65010 FL Primary

Addresses

Primary practice location

1301 Hodges Dr
Tallahassee, FL 32308-4614

Mailing address

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 431-5714

Other identifiers 1

IdentifierTypeStateIssuer
256730000MedicaidFL

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
I20041108001055 FL Practitioner - Family Practice 3476516790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of South Florida College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Big Bend Cares IncGroup PAC ID 6608138912, 5 clinicians

Practice addresses (Care Compare)

1300 Miccosukee Rd
Tallahassee, FL 32308-5054
Phone (850) 431-1155

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

1401 Centerville Rd
Tallahassee, FL 32308-4639

15 Council Moore Rd
Crawfordville, FL 32327-3117
Phone (850) 926-7105

1505 Surgeons Dr
Tallahassee, FL 32308-4632
Phone (850) 431-4325

2200 S Monroe St
Tallahassee, FL 32301-6303
Phone (850) 656-2437

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue80
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Big Bend Cares Inc CurrentSince Apr 1, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Sep 1, 2005 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Big Bend Cares Inc CurrentSince Apr 1, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Sep 1, 2005 Accepting new patients
Perry Emergency Physicians LLC Past Accepting new patients

Locations

15 Council Moore Rd
Crawfordville, FL 32327
Phone (850) 926-7105

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

1401 Centerville Rd
Ste 400
Tallahassee, FL 32308
Phone (850) 431-3360

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

3900 Esplanade Way
Tallahassee, FL 32311
Phone (850) 431-3867

2200 S Monroe St
Tallahassee, FL 32301
Phone (850) 354-8765

Interoperability endpoints

  • Direct secure messaging: josephmazziotta@cphwc.allscriptsdirect.net
  • Direct secure messaging: jmazziotta22263@tallahasseememorial.direct-ci.com
  • Direct secure messaging: josephmazziotta@tmhpp.allscriptsdirect.net

Organizations & group practices 7

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": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483401600000",
    "number": "1952375974",
    "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": "850-431-5714",
            "fax_number": "850-431-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 HODGES DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084614",
            "telephone_number": "850-431-5714",
            "fax_number": "850-431-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZZIOTTA",
        "first_name": "JOSEPH",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-15",
        "last_updated": "2017-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME65010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256730000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.