TMH Physician Partners – Family Medicine Physician, NPI 1366293102
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TMH Physician Partners
1607 SAINT JAMES CT STE 1
TALLAHASSEE, FL 323085352
Phone: (850) 431-7289
Type: Mailing
1300 MICCOSUKEE RD
TALLAHASSEE, FL 323085054
Phone: (850) 431-6200
Type: Location
1301 Hodges Dr
Tallahassee, FL 323084614
Phone: (850) 431-5430
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: 2026-02-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20250825004230 | O | Clinic/Group Practice | TX | TBD |
| O20250825004411 | O | Clinic/Group Practice | MD | TBD |
| O20250916000856 | O | Clinic/Group Practice | HI | TBD |
| O20250918003937 | O | Clinic/Group Practice | WI | TBD |
| O20250919001689 | O | Clinic/Group Practice | NY | TBD |
| O20251014001818 | O | Clinic/Group Practice | IL | TBD |
| O20251029004036 | O | Clinic/Group Practice | IN | TBD |
| O20260215000151 | O | Clinic/Group Practice | CO | TBD |
| O20260220001014 | O | Clinic/Group Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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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