NPIMap

Organization Active NPI

Thomas a. Tomlin M.D. PA

  • Family Medicine Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1033430871
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
THOMAS A. TOMLIN M.D. PA
Practice address
1100 Sawgrass Village Dr
Suite 100
Ponte Vedra Beach, FL 32082-5048
Phone
(904) 285-9355
Fax
(904) 285-7442
NPI assigned
Jun 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Thomas A. Tomlin, M.D.
Title
Managing Partner
Phone
(904) 285-9355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1100 Sawgrass Village Dr
Suite 100
Ponte Vedra Beach, FL 32082-5048

Mailing address

3948 3Rd St S # 384
Jacksonville Beach, FL 32250-5847
Phone (904) 285-9355

Other names 1

  • Ponte Vedra Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276646400000",
    "number": "1033430871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3948 3RD ST S # 384",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505847",
            "telephone_number": "904-285-9355",
            "fax_number": "904-285-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SAWGRASS VILLAGE DR",
            "address_2": "SUITE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825048",
            "telephone_number": "904-285-9355",
            "fax_number": "904-285-7442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A. TOMLIN M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-16",
        "last_updated": "2010-06-16",
        "status": "A",
        "authorized_official_last_name": "TOMLIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "904-285-9355",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponte Vedra Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.