Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Premier Urogynecology of Tallahassee

Organization Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician · NPI 1992468482

Premier Urogynecology of Tallahassee is an Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Tallahassee, Florida. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1963 Village Green Way
Tallahassee, FL 32308-3833
Phone: (229) 502-9788
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician (primary) Taxonomy 207VF0040X

Record details

NPI number1992468482
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Jordan — Provider Enrollment Coordinator · (229) 891-9131
NPI enumeratedOctober 21, 2021
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing addressPo Box 2876, Moultrie, GA 31776-2876

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