TALLAHASSEE MEMORIAL HEALTHCARE INC – Rural Health Clinic/Center, NPI 1285683045

TALLAHASSEE MEMORIAL HEALTHCARE INC is a healthcare provider. based in Tallahassee, Florida. specializing in Rural Health Clinic/Center. The NPI Number for TALLAHASSEE MEMORIAL HEALTHCARE INC is 1285683045

Main info

Organization
Name
TALLAHASSEE MEMORIAL HEALTHCARE INC
NPI
1285683045
Phone
(850) 431-7021
Address
1607 SAINT JAMES CT STE 1
Authorized Official
JENNIFER PARKS PRESIDENT
Enumeration Date
9 May 2006
Last Update Date
9 January 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for TALLAHASSEE MEMORIAL HEALTHCARE INC

  • Saint James Court, Tallahassee, Leon County, Florida, 323O1, United States

    TALLAHASSEE, FL 323085352

    Phone: (850) 431-7021

    Fax: (850) 431-6975

    Type: Mailing

  • 15, Council Moore Road, Crawfordville, Wakulla County, Florida, 32327, United States

    CRAWFORDVILLE, FL 323273117

    Phone: (850) 926-7105

    Fax: (850) 926-2034

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-03-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2026-01-31 (129 days ago).

Enrollment records

1

Earliest due date

2026-01-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20100310000505ORural Health ClinicFL2026-01-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32308)

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Reviews

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Frequently asked questions

Can I use this page to confirm TALLAHASSEE MEMORIAL HEALTHCARE INC's NPI?
Yes. TALLAHASSEE MEMORIAL HEALTHCARE INC is listed with NPI 1285683045 in the public NPI dataset.
Can I rely on TALLAHASSEE MEMORIAL HEALTHCARE INC being an active provider?
As of the registry snapshot, TALLAHASSEE MEMORIAL HEALTHCARE INC is marked active.
What healthcare role does TALLAHASSEE MEMORIAL HEALTHCARE INC hold?
Scheduling teams often label TALLAHASSEE MEMORIAL HEALTHCARE INC under Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Does TALLAHASSEE MEMORIAL HEALTHCARE INC list a practice location?
Patients near Tallahassee, Florida may find TALLAHASSEE MEMORIAL HEALTHCARE INC in results; validate coverage separately.
Is the information about TALLAHASSEE MEMORIAL HEALTHCARE INC up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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