TALLAHASSEE PODIATRY ASSOCIATES PA – Podiatrist, NPI 1821051962
Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for TALLAHASSEE PODIATRY ASSOCIATES PA
511 Gordon Ave
Thomasville, GA 317926645
Phone: (229) 236-2768
Fax: (229) 595-6998
Type: Location
333 N Byron Butler Pkwy
Perry, FL 323472300
Phone: (850) 878-6998
Fax: (850) 656-9293
Type: Location
2382 Crawfordville Hwy Ste 100D-2
Crawfordville, FL 323271091
Phone: (850) 878-6998
Fax: (850) 656-9293
Type: Location
1866, Buford Boulevard, Tallahassee, Leon County, Florida, 32308, United States
TALLAHASSEE, FL 323084442
Phone: (850) 878-6998
Fax: (850) 656-9293
Type: Mailing
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: 2010-10-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-01-31 (864 days ago).
Enrollment records
3
Earliest due date
2024-01-31
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 |
|---|---|---|---|---|
| O20050215000070 | O | Clinic/Group Practice | FL | TBD |
| O20100930052970 | O | Physician - Podiatry | FL | 2024-03-31 |
| O20101019000194 | O | Clinic/Group Practice | GA | 2024-01-31 |
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.
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 31792)
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