Individual provider Active NPI

Rebecca C Tummons, M.D.

  • Family Medicine Physician
  • Forest City, NC
National Provider Identifier
1053371716
Registry record updated May 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35774 Issued in NC
Practice address
1269 US Highway 221a
Forest City, NC 28043-5921
Phone
(828) 657-5371
Fax
(828) 657-9190
NPI assigned
Mar 27, 2006
Last updated
May 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35774 NC Primary
Family Medicine Physician 207Q00000X 15004 SC

Addresses

Primary practice location

1269 US Highway 221a
Forest City, NC 28043-5921

Mailing address

1269 US Highway 221a
Forest City, NC 28043-5921
Phone (828) 657-5371

Other identifiers 1

IdentifierTypeStateIssuer
TL3841MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050104000757 SC Practitioner - Family Practice 9234187519 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Carolina Dept of Mental Health Accounting OfficeGroup PAC ID 9032021175, shared by 11 NPIs, 226 clinicians

Practice addresses (Care Compare)

220 Faison Dr
Columbia, SC 29203-3210
Phone (803) 898-8415

2200 Harden St
Columbia, SC 29203-7107
Phone (803) 737-5301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35774NCMDFamily Medicine Physician
15004SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
Anderson Wellness Center PastSince Apr 1, 2007 Accepting new patients
Gaillard & Hinnant Family Practice LLC Family Medicine Past Accepting new patients
Network Geriatric Services, PA PastSince Apr 1, 2006 Accepting new patients

Locations

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

2414 Bull St
#3183
Columbia, SC 29201

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304380800000",
    "number": "1053371716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 US HIGHWAY 221A",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280435921",
            "telephone_number": "828-657-5371",
            "fax_number": "828-657-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 US HIGHWAY 221A",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "280435921",
            "telephone_number": "828-657-5371",
            "fax_number": "828-657-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMMONS",
        "first_name": "REBECCA",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-27",
        "last_updated": "2011-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "35774",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "15004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TL3841",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

Verify at the official NPI Registry.