H. Timothy Paulk, Jr., M.D., F.A.C.G.
Larry D. Taylor, M.D., F.A.C.G.
Michael J. Mangan, M.D.
Amulya Konda, M.D.
Andres F. Rodriguez, M.D.
Hardeep Singh, M.D.
C. Raymond Cottrell, M.D.
Joshua Somerset, M.D., F.A.C.G.
Louisa Dowling, A.R.N.P.
Todd Chenicek, A.R.N.P.
Shirleen Greene, A.R.N.P.
Jamie Jeffords, A.R.N.P.
2400 Miccosukee Road
Tallahassee, FL 32308
850-877-2105

FAQ

The Office Visit

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What can I expect on my first appointment?

You will be asked to register at our reception desk and to complete our registration form and comprehensive health history questionnaire. This may take approximately 15 minutes. The receptionist will verify that we have the correct demographic information and review your insurance information. Please bring your insurance card with you for every visit.

Your vital signs will be taken and recorded by our nursing personnel. The doctor or nurse practitioner will then interview you and perform a focused physical examination. When appropriate, this may include a digital rectal exam (no preparation is necessary for this exam). The doctor/nurse practitioner will then discuss his/her assessment and what tests may be needed.

How can I best prepare for my office visits?

If you are new or have not been seen recently in our office you will be asked to update your demographics and health history. Bring a list of your current medications or put them in a bag and bring them with you to your appointment. If you have HMO insurance, you will need to obtain the necessary referral from your family doctor.

You may wish to complete our Patient Registration form and Health History forms in advance. Print the forms, complete them and bring them with you the day of your appointment.

Where is your office located?

Our office and Endoscopy center is located at 2400 Miccosukee Road, Tallahassee, Florida. You can also use this site to see our detailed directions/map.

Can I schedule a scope test without a preliminary office visit?

Prior to scheduling most initial endoscopy procedures we require patients to have a consultation before any tests are scheduled. During this visit our doctors will evaluate your particular situation by reviewing your medical history, current medications, medical allergies and family history and do an appropriate physical examination. We will also explain the test, why and how to prepare for the test. During this time you will be given an opportunity to ask questions of the doctor and staff.

Do I need an authorization/referral?

Most insurance carriers and third party payors no longer require preauthorizations for office visits to specialists. However, if you know that your insurance requires a referral or preauthorization, please obtain prior to your visit. If you have any questions regarding your specific insurance policy, our business office is here to help at 877-2105. Our business office will pre-certify any special test or procedures ordered at your visit by the physicians or nurse practitioners at Digestive Disease Clinic.

How do I prepare for a Flexible Sigmoidoscopy Exam? (lower 1/3 of your colon)

For an optimal exam and for your comfort, it is important you follow the directions given or mailed to you at the time the appointment was scheduled. This information for a Flexible Sigmoidoscopy may also be printed from this site.

How do I prepare for a colonoscopy exam?

The colon preparation begins the morning of the day prior to your exam. Your physician has considered your specific medical condition and chosen an appropriate colon prep for you to clean out your colon prior to the exam. Please follow the colon prep instructions you received from your physician. If you have questions, please call our office 24 hours prior to the time you are scheduled to clean out your colon. If you do not have or cannot find instructions for your colon preparation (Colon Prep or Golytely/Nulytely Colon Prep - both in Adobe Acrobat format), you may view them and print them out from this site .

What happens if I develop nausea or vomiting while taking the laxative preparation?

If you develop nausea or vomiting while taking the laxative preparation, stop the preparation process for an hour. Then, try to pick up where you left off. If you are unable to complete the process, let our staff know. Your test may need to be rescheduled if you are unable to complete the preparation. During the day, you can simply call our office. After hours, one of our physicians will be available to help. If you develop SEVERE abdominal pain during preparation, stop the preparation immediately and call our office.

Do I have to drink all of the laxative preparation solution?

Yes. To obtain an accurate and optimal examination of your digestive tract the instructions to clean your digestive tract should be followed.

How do I prepare for an Upper Endoscopy exam?

An empty stomach is a must. You must be fasting (no food or drink) for 6 hours prior to your test.

How do I receive results from my test?

To obtain your test results from our office you can call us at 877-2105 or you can provide our office with your email address so that you can sign up with our new patient portal. Once you provide our office with your email address you will receive an email with an invitation specific to you to join. You will be asked to enter your date of birth and your zip code. Once you have entered this information you will be walked through the registration process. This is an easy convenient and secure way to communicate with our office. Please remember we ask that you allow 14 days for all test results to come back.

What is the difference having a procedure at the hospital or TEC?

Tallahassee Endoscopy Center and the hospital have state of the art equipment and staffing. Various insurances are accepted at both facilities. Parking at Tallahassee Endoscopy Center is convenient. The arrival time at Tallahassee Endoscopy Center is usually 60 minutes prior to the procedure start time. Tallahassee Endoscopy Center is owned and operated by the Digestive Disease Clinic physicians.

Why did I get more than one bill for the procedure performed at Tallahassee Endoscopy Center? A patient may be billed for any of the following: the TEC facility fee, a fee for a physical at DDC, a fee from the hospital, and/or a fee if a biopsy or polyp was taken from the patient. Please call our business office (850-656-2549) if you have questions regarding your bill.

Why can't I drive home?

After the administration of sedation, you will not be able to safely drive your car. We insist you do not drive your car for the remainder of the day. We suggest a friend or family member accompany you home.

Clinical Questions

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How can I get my prescription refilled?

Please call our office for medication refills. This process could take up to 3 days, please plan ahead for needed refills. If it has been a year or more since you were seen at the Digestive Disease Clinic, we require patients to be seen within the last year prior to refilling prescriptions. If you are currently under the care of a primary care physician and seeing that physician on a regular basis you could have that physician take over prescribing the medication.

What are polyps?

Detailed information on polyps may be found here in a standard printable format.

Diverticulosis vs. Diverticulitis - What is the difference?

Diverticulosis is a condition. Most adults have some degree of diverticulosis. It affects the large intestine, or colon. A colon affected by diverticulosis has weak spots in the walls. These weak spots may allow the development of sacs or outpouches (like a bubble forming on a worn inner tube). A single outpouch is called a diverticulae. The presences of these pouches on the colon is called diverticulosis. When the pouches are inflamed or infected, it is called diverticulitis. Most individuals with diverticulosis never develop diverticulitis.

What is a hiatal hernia?

Your stomach may press upward through a weakened area in your diaphragm. This condition is called a "hiatal hernia." A hiatal hernia is a common finding in adults and may cause no symptoms at all. A hiatal hernia can be associated with a weakness in the lower esophageal valve and can worsen symptoms of acid reflux, or GERD.