Active NPI
Ronald L Tomlinson, M.D.
- Urology Physician
- Waycross, GA
National Provider Identifier
1255316634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 013095
- Practice address
- 1306 Alice St
Waycross, GA 31501-4527 - Phone
- (912) 283-7951
- Fax
- (912) 285-7922
- NPI assigned
- Dec 8, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 013095 | GA | Primary |
Addresses
Primary practice location
1306 Alice St
Waycross, GA 31501-4527
Mailing address
PO Box 2007
Waycross, GA 31502-2007
Phone (912) 283-7951
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00133207A | Medicaid | GA | |
| 339984 | Other | GA | WELLCARE |
| 10057865 | Other | GA | AMERIGROUP |
| 024624 | Other | GA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 013095 | GA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooperative Healthcare Services Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinic/Center
- Brunswick, GA
- NPI 1417979402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197936000000",
"number": "1255316634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2007",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315022007",
"telephone_number": "912-283-7951",
"fax_number": "912-285-7922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 ALICE ST",
"city": "WAYCROSS",
"state": "GA",
"postal_code": "315014527",
"telephone_number": "912-283-7951",
"fax_number": "912-285-7922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMLINSON",
"first_name": "RONALD",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-08",
"last_updated": "2007-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "GA",
"license": "013095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00133207A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "339984",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10057865",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "024624",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waycross, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.