Active NPI
Tabi Tabe-Ebob, M.D.
- Internal Medicine Physician
- Fayetteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2010-01657
- Practice address
- 1638 Owen Dr
Fayetteville, NC 28304-3424 - Phone
- (910) 615-5610
- NPI assigned
- Apr 1, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 002551 | GA | |
| Internal Medicine Physician | 207R00000X | 2010-01657 | NC | Primary |
Addresses
Primary practice location
1638 Owen Dr
Fayetteville, NC 28304-3424
Mailing address
7132 Holmfield Road
Fayetteville, NC 28306
Phone (910) 615-5610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
200 Industrail Blvd
Dublin, GA 31021-2981
Phone (478) 275-2000
4700 Waters Ave
(Memorial Health University Medical Center)
Savannah, GA 31404-6220
Phone (912) 350-8000
705 Dixie St
Carrollton, GA 30117-3818
Phone (770) 812-9666
Hospital & facility affiliations
- Tanner Medical Center - Carrollton
- Tanner Medical Center Villa Rica
- Savannah Health Services LLC Dba Memorial Health University Medical Center
- Higgins General Hospital
- Tanner Medical Center-East Alabama
- Higgins General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002551 | GA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cogent Healthcare of Macon, LLC | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group Georgia | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Georgia PC | Internal Medicine | Current | Accepting new patients |
| TMC/Villa Rica Hospital, Inc | Past | Accepting new patients | |
| Tanner Medical Center, Inc | Past | Accepting new patients |
Locations
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370
200 Allen Memorial Dr
Bremen, GA 30110
Phone (770) 537-5851
705 Dixie St
Carrollton, GA 30117
Phone (770) 812-9666
200 Industrial Blvd
Dublin, GA 31021
Phone (478) 274-3865
1170 Cleveland Ave
East Point, GA 30344
Phone (404) 305-3500
777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600
4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100
915 Gordon Ave
Thomasville, GA 31792
Phone (229) 228-8575
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
601 Dallas Hwy
Villa Rica, GA 30180
Phone (770) 456-3000
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Carrollton, GA
- NPI 1629025143
-
- Internal Medicine Physician
- Macon, GA
- NPI 1609827823
-
- Internal Medicine Physician
- Macon, GA
- NPI 1073564217
-
- Hospitalist Physician
- Savannah, GA
- NPI 1891653655
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Savannah, GA
- NPI 1053824292
-
- Critical Access Hospital
- Wedowee, AL
- NPI 1912428301
-
- General Acute Care Hospital
- Carrollton, GA
- NPI 1801883780
-
- Critical Access Hospital
- Bremen, GA
- NPI 1194712083
-
- Medicare Defined Swing Bed Hospital Unit
- Bremen, GA
- NPI 1598741647
Nursing home
-
- General Acute Care Hospital
- Villa Rica, GA
- NPI 1851388748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1104098995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7132 HOLMFIELD ROAD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "28306",
"telephone_number": "910-615-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1638 OWEN DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043424",
"telephone_number": "910-615-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABE-EBOB",
"first_name": "TABI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-01",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "002551",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2010-01657",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.