NPIMap

Individual provider Active NPI

Kathryn Chandler Pemberton Langston, MD

  • Family Medicine Physician
  • Quincy, FL
National Provider Identifier
1992374698
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME162163 Issued in FL
Practice address
178 Lasalle Lefall Dr
Quincy, FL 32351-5278
Phone
(850) 875-3600
NPI assigned
Jun 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 ME162163 FL Primary

Addresses

Primary practice location

178 Lasalle Lefall Dr
Quincy, FL 32351-5278

Mailing address

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 531-5430

Other practice location 1

1301 Hodges Dr
Tallahassee, FL 32308-4614
Phone (850) 531-5430

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
I20230804000105 FL Practitioner - Family Practice 8820480908 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Florida State University College of Medicine, 2021
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)

178 Lasalle Lefall Dr
Quincy, FL 32351-5278
Phone (850) 875-3600

Hospital & facility affiliations

  • NHC Homecare Home health agency, Chipley, FL, CCN 107372
  • Tallahassee Memorial Healthcare Hospital, Tallahassee, FL, CCN 100135

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME162163FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Capital Health Plan, Inc, CurrentSince Jul 1, 2023 Accepting new patients
Tallahassee Memorial Healthcare Inc. Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
Tallahassee Memorial Healthcare Inc Family Medicine Past Accepting new patients

Locations

178 Lefall Dr
Quincy, FL 32351
Phone (850) 875-3600

2140 Centerville Rd
Tallahassee, FL 32308
Phone (850) 383-3300

1491 Governors Square Blvd
Tallahassee, FL 32301
Phone (850) 383-3300

1264 Metropolitan Blvd
Tallahassee, FL 32312
Phone (850) 383-3333

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

Interoperability endpoints

  • Direct secure messaging: klangston21883@tallahasseememorial.direct-ci.com

Organizations & group practices 12

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 4

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": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1992374698",
    "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": "850-531-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 LASALLE LEFALL DR",
            "city": "QUINCY",
            "state": "FL",
            "postal_code": "323515278",
            "telephone_number": "850-875-3600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Hodges Dr",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323084614",
            "country_code": "US",
            "telephone_number": "850-531-5430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEMBERTON LANGSTON",
        "first_name": "KATHRYN",
        "middle_name": "CHANDLER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME162163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, FL

Sources for this page

Verify at the official NPI Registry.