Individual provider Active NPI

Joy-Ann Tabanor-Gayle, MD

  • Rheumatology Physician
  • Lawrence, KS
National Provider Identifier
1104232404
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
04-41561 Issued in KS
Practice address
4525 W 6TH St Ste 100
Lawrence, KS 66049-7700
Phone
(785) 505-5160
Fax
(785) 505-5282
NPI assigned
Jul 8, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 04-41561 KS Primary

Addresses

Primary practice location

4525 W 6TH St Ste 100
Lawrence, KS 66049-7700

Mailing address

325 Maine St
Mso Library
Lawrence, KS 66044
Phone (785) 505-2988

Other practice location 1

901 SW Garfield Ave
Topeka, KS 66606-1670
Phone (785) 354-9591

Other practice location 2

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 3

2200 Harvard Rd Ste B
Lawrence, KS 66049-2611
Phone (785) 505-2551

Other identifiers 1

IdentifierTypeStateIssuer
30004646960001MedicaidKS

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jtabanor94781@stormontvaildirect.org Direct COTTON O'NEIL CLINIC REVOCABLE TRUST
Direct Messaging Address jtabanor94781@stormontvaildirect.org Direct STORMONT-VAIL HEALTHCARE INC
Direct Messaging Address joy-ann.tabanor-gayle@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20191009001483 KS Practitioner - RheumatologyPractitioner - Internal Medicine 5597037747 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

4525 W 6TH St
100 LMH Health Primary Care 6TH and Folks Roa
Lawrence, KS 66049-7700
Phone (785) 505-5160

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137
  • Stormont Vail Hospital Hospital, Topeka, KS, CCN 170086
  • University of Kansas Health System - St Francis Campus Hospital, Topeka, KS, CCN 170016
  • Newman Regional Health Hospital, Emporia, KS, CCN 171384

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Aug 26, 2019 Accepting new patients
Lawrence Physicians LLC CurrentSince Jan 1, 2024 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
Lawrence Physicians LLC CurrentSince Jan 1, 2024 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust Rheumatology CurrentSince Aug 26, 2019 Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

4525 W 6th St
Ste 100
Lawrence, KS 66049
Phone (785) 505-5160

901 SW Garfield Ave
Topeka, KS 66606

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

Interoperability endpoints

  • Direct secure messaging: joy-ann.tabanor-gayle@direct.lmh.org

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1104232404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 MAINE ST",
            "address_2": "MSO LIBRARY",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66044",
            "telephone_number": "785-505-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 W 6TH ST STE 100",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660497700",
            "telephone_number": "785-505-5160",
            "fax_number": "785-505-5282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 SW Garfield Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061670",
            "country_code": "US",
            "telephone_number": "785-354-9591",
            "fax_number": "785-368-0478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Harvard Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Lawrence",
            "state": "KS",
            "postal_code": "660492611",
            "country_code": "US",
            "telephone_number": "785-505-2551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABANOR-GAYLE",
        "first_name": "JOY-ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-08",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KS",
            "license": "04-41561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30004646960001",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtabanor94781@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "COTTON O'NEIL CLINIC REVOCABLE TRUST",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "901 SW Garfield Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtabanor94781@stormontvaildirect.org",
            "affiliation": "Y",
            "endpointDescription": "SVH Secure messaging",
            "affiliationName": "STORMONT-VAIL HEALTHCARE INC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "901 SW Garfield Ave",
            "city": "Topeka",
            "state": "KS",
            "country_code": "US",
            "postal_code": "666061670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "joy-ann.tabanor-gayle@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4525 W 6th St Ste 100",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660497700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.