Organization Active NPI

Premier Health and Wellness Tallahassee, LLC

  • General Practice Registered Nurse
  • Tallahassee, FL
National Provider Identifier
1962338558
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
Legal business name
PREMIER HEALTH AND WELLNESS TALLAHASSEE, LLC
Practice address
4838 Kerry Forest Pkwy
Tallahassee, FL 32309-2272
Phone
(850) 282-6500
Fax
(850) 409-9002
NPI assigned
Jun 22, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Authorized official

Name
Sara Randall Macdonnell, APRNNPI 1225293764
Title
Ceo/Owner
Phone
(850) 282-6500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WG0000X Primary

Addresses

Primary practice location

4838 Kerry Forest Pkwy
Tallahassee, FL 32309-2272

Mailing address

4838 Kerry Forest Pkwy
Tallahassee, FL 32309-2272
Phone (850) 282-6500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1962338558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4838 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092272",
            "telephone_number": "850-282-6500",
            "fax_number": "850-409-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4838 KERRY FOREST PKWY",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323092272",
            "telephone_number": "850-282-6500",
            "fax_number": "850-409-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HEALTH AND WELLNESS TALLAHASSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "RANDALL MACDONNELL",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "850-282-6500",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": null,
            "license": null,
            "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 22, 2026; 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.