Active NPI
Tami M Prince, M.D.
- Obstetrics & Gynecology Physician
- Fort Knox, KY
National Provider Identifier
1063525111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 057414
- Practice address
- 851 Ireland Ave
Attn: MCXM-Boc (Denise Hester)
Fort Knox, KY 40121-2722 - Phone
- (502) 624-9066
- NPI assigned
- Aug 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 057414 | GA | Primary |
Addresses
Primary practice location
851 Ireland Ave
Attn: MCXM-Boc (Denise Hester)
Fort Knox, KY 40121-2722
Mailing address
119 Old Airport Rd
Apt 284
Lagrange, GA 30240-4011
Phone (706) 614-0349
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Women'S Health and Fitness, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Athens, GA
- NPI 1922273655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1063525111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "119 OLD AIRPORT RD",
"address_2": "APT 284",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404011",
"telephone_number": "706-614-0349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 IRELAND AVE",
"address_2": "ATTN: MCXM-BOC (DENISE HESTER)",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401212722",
"telephone_number": "502-624-9066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "TAMI",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "057414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Knox, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.