Gentry Broach Tolbert, N.P.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN175489 Issued in GA

Practice address

1000 Hawthorne Ave Ste J
Athens, GA 30606-2168

Phone

(706) 286-8344

Fax

(706) 286-8346

NPI assigned

Jun 30, 2011

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GBGEBD

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.

• Ashford Pain Solutions, LLC

  • Interventional Pain Medicine Physician
  • Athens, GA
  • NPI 1689178170
  Medicare reassignment NPD
• Mark a Ellis, MD, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Bogart, GA
  • NPI 1841261294
  Medicare reassignment NPD
• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1144517038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 LANGFORD MEDICAL DRIVE",
            "address_2": "BLDG 200",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "30622",
            "telephone_number": "706-208-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HAWTHORNE AVE STE J",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062168",
            "telephone_number": "706-286-8344",
            "fax_number": "706-286-8346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "GENTRY",
        "middle_name": "BROACH",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN175489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timmerman Therapy and Family Solutions LLC
• Cullen McReynolds Timmons, MD
• Karen A Tipton
• TLC of Georgia LLC
• Chantel Fite Tolbert, PTA
• Melissa Spinelli Tolbert, NP-C
• Noah Ryan Tollin, MD
• Tracie Rene Tomas
• Christopher M Tomingas, M.D.
• Jonathan Tomlinson, DMD, MD

• Family Nurse Practitioner in Athens, GA
• Providers in Athens, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.