OrganizationActive
Premier Urogynecology of Tallahassee
NPI 1992468482 · Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · Tallahassee, FL
Provider details
- NPI number
- 1992468482
- Entity type
- Organization
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandra Jordan, Provider Enrollment Coordinator(229) 891-9131
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianPrimary207VF0040X
Allopathic & Osteopathic Physicians
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
1963 Village Green Way
Tallahassee, FL 32308-3833
Phone: (229) 502-9788
Street-level locationGet directions
Mailing address
Po Box 2876
Moultrie, GA 31776-2876
Registry dates
- Enumerated
- 2021-10-21
- Last updated
- 2021-10-21
- Certified
- 2021-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.