NPIMap

Organization Active NPI

Tallahassee Neurological Clinic

  • Neurological Surgery Physician
  • Tallahassee, FL
National Provider Identifier
1982660569
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
Legal business name
TALLAHASSEE NEUROLOGICAL CLINIC
Practice address
1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4675
Phone
(850) 877-5115
NPI assigned
Apr 24, 2006
Last updated
Oct 6, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Ashley Hulsey, MANAGER
Title
Office Manager
Phone
(850) 558-1262

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X FL Primary

Addresses

Primary practice location

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4675

Mailing address

1401 Centerville Rd
Suite 300
Tallahassee, FL 32308-4675
Phone (850) 877-5115

Other identifiers 4

IdentifierTypeStateIssuer
053371802MedicaidFL
38233OtherFLGROUP BCBS NUMBER
053371800MedicaidFL
053371801MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031211000061 FL Part B Supplier - Clinic/Group Practice 9032015946 Receives reassigned benefits from 58 practitioners
Practice locations: Tallahassee, FL
O20100930086431 FL DME Supplier - Physician - General Practice 9032015946 Practice locations: Tallahassee, FL

National Provider Directory

National Provider Directory

Locations

1321 Executive Center Dr
Tallahassee, FL 32301

1321 Executive Center Dr
Ste 100
Tallahassee, FL 32301

1401 Centerville Rd
#0
Tallahassee, FL 32308

1401 Centerville Rd
Ste 600
Tallahassee, FL 32308
Phone (850) 878-8121

1401 Centerville Rd
Ste 601
Tallahassee, FL 32308

2160 Capital Cir NE
Ste 200
Tallahassee, FL 32308
Phone (850) 385-0033

2824 Mahan Dr
Ste 1
Tallahassee, FL 32308
Phone (850) 558-1260

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1982660569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084675",
            "telephone_number": "850-877-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD",
            "address_2": "SUITE 300",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084675",
            "telephone_number": "850-877-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALLAHASSEE NEUROLOGICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "HULSEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "850-558-1262",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053371802",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP BCBS NUMBER",
            "identifier": "38233",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053371800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053371801",
            "state": "FL"
        }
    ],
    "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 Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.