MEDICARE: TALLAHASSEE MEDICAL CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1821923178
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TALLAHASSEE MEDICAL CENTER INC

Provider Business Mailing Address
First Line	:	834 W SAINT AUGUSTINE ST STE 2
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32304-4439
Country	:	US
Telephone Number	:	850-325-5750
Fax Number	:

Provider Business Practice Location Address
First Line	:	834 W SAINT AUGUSTINE ST STE 2
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32304-4439
Country	:	US
Telephone Number	:	850-325-5750
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KENNETH NEELY
Credential	:
Telephone Number	:	850-325-5750

Provider Enumeration Date	:	06/17/2026
Last Update Date	:	06/17/2026

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