Active NPI
Clarissa Jane Tomlin
- Family Nurse Practitioner
- Enterprise, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-148343
- Practice address
- 6582 Boll Weevil Cir
Enterprise, AL 36330-9424 - Phone
- (334) 347-2027
- NPI assigned
- Jan 18, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-148343 | AL | Primary |
Addresses
Primary practice location
6582 Boll Weevil Cir
Enterprise, AL 36330-9424
Mailing address
6582 Boll Weevil Cir
Enterprise, AL 36330-9424
Phone (334) 347-2027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4370 W Main St
Dothan, AL 36305-1056
Phone (334) 793-5000
Hospital & facility affiliations
- Amedisys Home Health
- Flowers Hospital
- Medical Center Enterprise
- Medical Center Barbour
- Northwest Florida Community Hospital
- Dale Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 45.86 of 100
- Quality
- 6.09
- Improvement activities
- 40
- Cost
- 81.25
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enterprise Urgent Care | Current | Accepting new patients | |
| Flowers HB Medical Services LLC | Current | Accepting new patients | |
| Ivycreek of Elmore LLC | Past | Accepting new patients |
Locations
4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611
6582 Boll Weevil Cir
Enterprise, AL 36330
Phone (334) 347-2027
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1972283828
-
dba Ivy Creek Family Care of Enterprise
- Urgent Care Clinic/Center
- Enterprise, AL
- NPI 1285180729
-
dba River Region Family Medicine
- Rural Health Clinic/Center
- Wetumpka, AL
- NPI 1396066650
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adoration Home Health
- Home Health Agency
- Dothan, AL
- NPI 1871503532
-
- General Acute Care Hospital
- Ozark, AL
- NPI 1942380357
-
dba Medical Center Enterprise
- General Acute Care Hospital
- Enterprise, AL
- NPI 1720039712
-
dba MCB Family Clinic
- Rural Health Clinic/Center
- Louisville, AL
- NPI 1134632045
Hospital
-
dba Hurtsboro Family Clinic
- Family Medicine Physician
- Hurtsboro, AL
- NPI 1154972883
Hospital
-
dba Medical Center Barbour
- Critical Access Hospital
- Eufaula, AL
- NPI 1730692641
-
- Critical Access Hospital
- Chipley, FL
- NPI 1336163708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1610928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618185600000",
"number": "1205425873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6582 BOLL WEEVIL CIR",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363309424",
"telephone_number": "334-347-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6582 BOLL WEEVIL CIR",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363309424",
"telephone_number": "334-347-2027"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLIN",
"first_name": "CLARISSA",
"middle_name": "JANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-18",
"last_updated": "2021-04-12",
"certification_date": "2021-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-148343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.