NPIMap

Individual provider Active NPI

Ty T Webb, MD

  • Family Medicine Physician
  • Sparta, TN
National Provider Identifier
1174512974
Registry record updated Nov 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
28575 Issued in TN
Practice address
457 Vista Dr
Sparta, TN 38583
Phone
(931) 738-3383
Fax
(931) 738-8911
NPI assigned
Oct 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 28575 TN Primary

Addresses

Primary practice location

457 Vista Dr
Sparta, TN 38583

Mailing address

457 Vista Dr
Sparta, TN 38583
Phone (931) 738-3383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100419000188 TN Practitioner - Family Practice 4880657907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Tennessee, HSC, College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cumberland Family Care P.C.Group PAC ID 8729041835, 5 clinicians

Practice addresses (Care Compare)

457 Vista Dr
Sparta, TN 38583-1360
Phone (931) 738-3383

Hospital & facility affiliations

  • NHC Homecare Murfreesboro Home health agency, Murfreesboro, TN, CCN 447114
  • Saint Thomas Highlands Hospital Hospital, Sparta, TN, CCN 440192
  • Cookeville Regional Medical Center Hospital, Cookeville, TN, CCN 440059

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision17
Removal of skin lesions58
Removal of nail tissue1-10
Removal or shaving of skin growth19
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Family Care PC Family Medicine CurrentSince Oct 1, 1998 Accepting new patients
Cumberland Family Care, P.C. CurrentSince Oct 1, 1998 Accepting new patients
Cannon County Hospital, LLC PastSince Jun 30, 2011 Accepting new patients
Physician Management Services of Tennessee, LLC Family Medicine Past Accepting new patients

Locations

457 Vista Dr
Sparta, TN 38583
Phone (931) 738-3383

423 Sewell Dr
Sparta, TN 38583
Phone (931) 738-3383

817 College St
Spencer, TN 38585
Phone (931) 946-2113

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFAD
  • Direct secure messaging: hmchla9022@yourcarecommunity.org
  • Direct secure messaging: ty.webb@cumbfc.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HJBFAD/Endpoint/HJBFAD

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cumberland Family Care Van Buren ClinicSpencer, TN, CCN 443957 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Dec 15, 2004

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 8

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1174512974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "38583",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 VISTA DR",
            "city": "SPARTA",
            "state": "TN",
            "postal_code": "38583",
            "telephone_number": "931-738-3383",
            "fax_number": "931-738-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "TY",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "28575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, TN

Sources for this page

Verify at the official NPI Registry.