Todd N Tom, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

39872 Issued in KY

Practice address

306 Hospital Dr Ste 100
South Williamson, KY 41503-4095

Phone

(606) 237-1789

Fax

(606) 237-1797

NPI assigned

Jun 22, 2005

Last updated

May 21, 2020By the provider in NPPES

Sex

Male

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Surgery

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Regional Physicians Management Group, LLCGroup PAC ID 9032491956, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southern Regional Medical Center Hospital, Riverdale, GA, CCN 110165
• Select Specialty Hospital - Midtown Atlanta, LLC Long-term care hospital, Atlanta, GA, CCN 112004

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: toddtom@arh.medalliesdirect.net
• Direct secure messaging: ttodd309726@direct.wvuhsdirect.com

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.

• Southern Regional Physicians Management Group, LLC

  • Surgery Physician
  • Riverdale, GA
  • NPI 1043677271
  Medicare reassignment Care Compare group NPD

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

• Prime Healthcare Foundation - Southern Regional, LLC

  dba Southern Regional Medical Center

  • General Acute Care Hospital
  • Riverdale, GA
  • NPI 1154795581
  Care Compare affiliation
• Select Specialty Hospital Midtown Atlanta LLC

  • Long Term Care Hospital
  • Atlanta, GA
  • NPI 1235598095

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590019200000",
    "number": "1154327559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR STE 100",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-1789",
            "fax_number": "606-237-1797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 HOSPITAL DR STE 100",
            "city": "SOUTH WILLIAMSON",
            "state": "KY",
            "postal_code": "415034095",
            "telephone_number": "606-237-1789",
            "fax_number": "606-237-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOM",
        "first_name": "TODD",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KY",
            "license": "39872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Arlin Stanley, APRN
• Stay Well Chiropractic, Inc.
• Tackett-Holschuh Radiology, Inc (Mingo-Pike Radiology)
• Phillip Thacker, BA
• Nona Melissa Thornsbury, BA
• Total Renal Care Inc (South Williamson Dialysis)
• Bryan-Lee Austin Trent
• Susan Shiree Trent
• Tug Valley Physical Therapy
• Violet R Vance, ARNP

• Surgery Physician in South Williamson, KY
• Providers in South Williamson, KY by specialty
• Surgery Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.

Verify at the official NPI Registry.