| NPI | 1295260578 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2017-04-25 |
| Last Updated | 2020-06-29 |
| Mailing Address | Po Box 12427 Tallahassee, FL 32317-2427 United States Phone: (850) 297-0114 | Fax: (850) 297-0314 📍 View Map |
| Primary Practice Address | 1803 Miccosukee Commons Dr Ste 202 Tallahassee, FL 32308-7403 United States Phone: (850) 402-6215 | Fax: (850) 894-6768 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 106444900 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207Q00000X – Family Medicine | FL | ME144308 |
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About NPI 1295260578
Edwin Jonathan Perry M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1295260578. The primary specialty listed is Family Medicine. The provider is located in Tallahassee, FL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2017-04-25. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1295260578?
NPI 1295260578 belongs to Edwin Jonathan Perry M.D., a Family Medicine in Tallahassee, FL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1295260578 active?
The current status of NPI 1295260578 in the NPPES registry is Active. The record was last updated on 2020-06-29.
What specialty is NPI 1295260578?
NPI 1295260578 is classified under the taxonomy Family Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1295260578?
You can verify NPI 1295260578 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1295260578?
The primary practice address on file for NPI 1295260578 is 1803 Miccosukee Commons Dr Ste 202, Tallahassee, FL 32308-7403. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1295260578 issued?
NPI 1295260578 was first issued (enumerated) on 2017-04-25. The NPPES record was last updated on 2020-06-29.
Practice Location Map
Edwin Jonathan Perry is located at 1803 Miccosukee Commons Dr Ste 202, Tallahassee, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Edwin Jonathan Perry. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1295260578. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Family Medicine | ME144308 | FL |