Individual provider Active NPI

Timothy C Hann, NP

  • Family Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1992210884
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11017341 Issued in FL
Practice address
1401 Centerville Rd Ste G02
Tallahassee, FL 32308-4638
Phone
(850) 431-2100
NPI assigned
Dec 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 23566 TN
Family Nurse Practitioner 363LF0000X APRN11017341 FL Primary

Addresses

Primary practice location

1401 Centerville Rd Ste G02
Tallahassee, FL 32308-4638

Mailing address

1401 Centerville Rd Ste G02
Tallahassee, FL 32308-4638
Phone (850) 431-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180815002989 NC Practitioner - Nurse Practitioner 1355690900 Reassigns benefits to 1 organization
I20220412002907 FL Practitioner - Nurse Practitioner 1355690900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tallahassee Memorial Healthcare IncGroup PAC ID 6103724778, 498 clinicians

Practice addresses (Care Compare)

2619 Centennial Blvd
Suite 102
Tallahassee, FL 32308-0590
Phone (850) 431-2875

Hospital & facility affiliations

  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11017341FLMDFamily Nurse Practitioner
23566TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Jul 11, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc CurrentSince Aug 1, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Jul 11, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients

Locations

2619 Centennial Blvd
Ste 102
Tallahassee, FL 32308
Phone (850) 431-2875

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

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

1401 Centerville Rd
Ste G02
Tallahassee, FL 32308
Phone (850) 431-2100

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

98 Doctors Dr
Ste 100
Sylva, NC 28779
Phone (828) 586-3976

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: thann21933@tallahasseememorial.direct-ci.com

Organizations & group practices 4

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": "1513123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1992210884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE G02",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084638",
            "telephone_number": "850-431-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE G02",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084638",
            "telephone_number": "850-431-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANN",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-13",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "23566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11017341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.