TALLAHASSEE MEMORIAL DIABETES CENTER
NPI 1114976974
Clinic/Center in Tallahassee, FL
NPI Status: Active since May 09, 2006
Contact Information
2633 CENTENNIAL BLVD STE 100
TALLAHASSEE, FL
ZIP 32308
Phone: (850) 431-5404
Fax: (850) 656-3376
- Organization
- Clinic/Center
- Accepts Insurance
About TALLAHASSEE MEMORIAL DIABETES CENTER
This page provides the complete NPI Profile along with additional information for Tallahassee Memorial Diabetes Center, a provider established in Tallahassee, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1114976974 assigned on May 2006. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Tallahassee Memorial Diabetes Center. The authorized official of this NPI record is Mrs. Jennifer Parks (President)
- NPI
- 1114976974
- Provider Legal Name
- TALLAHASSEE MEMORIAL HEALTHCARE INC
- Other Organization Name
- TALLAHASSEE MEMORIAL DIABETES CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308
- Location Phone
- (850) 431-5404
- Location Fax
- (850) 656-3376
- Mailing Address
- 1607 SAINT JAMES CT STE 1 TALLAHASSEE, FL 32308
- Mailing Phone
- (850) 431-7021
- Mailing Fax
- (850) 656-3376
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-09-2006
- Last Update Date
- 01-09-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License State
- FL
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 406 | OTHER (01) | FL | BCBS GROUP # |
| 010113300 | MEDICAID (05) | FL |
Reviews for TALLAHASSEE MEMORIAL DIABETES CENTER
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 9 | 7 | 6 | 9 | 7 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 7 | 12 | 9 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 7 + 1 + 2 + 9 + 1 + 4 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1114976974 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356825715 | GINA MARIE HEDRICK Individual | Dietitian, Registered | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1417431875 | JESSICA MICHALOSKI JAMESON Individual | Dietitian, Registered | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1922388875 | TALLAHASSEE MEMORIAL HEALTHCARE INC Organization | Family Medicine (Obesity Medicine) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1790040160 | TALLAHASSEE MEMORIAL HEALTHCARE INC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 877-7387 |
| 1205097565 | LANCE MICHEEL FREEMAN M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1497741839 | LARRY CHARLES DEEB M.D. Individual | Pediatrics (Pediatric Endocrinology) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1164011763 | CIERRA LAZANA MATHIS RDN, LDN, M.ED. Individual | Dietitian, Registered | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1164734620 | DR. ANJU AGARWAL M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1225564610 | DR. JEREMY S HARMSON D.O. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1720406671 | FABIOLA DE LOS ANGELES D'AMBROSIO M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1386426229 | DR. KIMBERLY JONES Individual | Pharmacist | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1891577862 | MISS ILEXIS SHAINA ARUJ MS, RDN, LDN Individual | Dietitian, Registered | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1881437804 | MS. ERIKA KIMBERLEY DRESSEL APRN, FNP-C Individual | Nurse Practitioner (Family) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1467012393 | TALLAHASSEE MEMORIAL HEALTHCARE INC Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1659785756 | DR. ANTONI RAMON KAFROUNI GERGES M.D. Individual | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
| 1740955566 | KATHRYN ANN MADSEN LCSW Individual | Social Worker (Clinical) | 2633 CENTENNIAL BLVD STE 100 TALLAHASSEE, FL 32308 (850) 431-5404 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114976974, enumerated in the NPI registry as an "organization" on May 09, 2006
The provider is located at 2633 Centennial Blvd Ste 100 Tallahassee, Fl 32308 and the phone number is (850) 431-5404
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Aetna CVS Health, Blue Cross Blue Shield, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 09, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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