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NPI 1255669214 · Point of Service · Tallahassee, FL
Provider details
- NPI number
- 1255669214
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Ebony Mcfadden, Medical Billing(850) 210-8283
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2179 Claremont Ln Apt B
Tallahassee, FL 32301-3393
Phone: (850) 210-8283
Street-level locationGet directions
Mailing address
Po Box 15108
Tallahassee, FL 32317-5108
Registry dates
- Enumerated
- 2009-12-02
- Last updated
- 2009-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.