John Carey Tomberlin, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

10925 Issued in AL

Practice address

301 Andrews Ave
Lyster Army Health Clinic
Fort Rucker, AL 36362

Phone

(334) 255-7387

Fax

(334) 255-7716

NPI assigned

Jan 9, 2006

Last updated

Jun 14, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, FL, GA3 enrollments

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 3

Specialty

Diagnostic RadiologyAlso: Interventional Radiology

Education

University of Alabama School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Donalsonville Hospital IncGroup PAC ID 7113919820, 63 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Doctors Memorial Hospital Hospital, Bonifay, FL, CCN 101307
• Wiregrass Medical Center Hospital, Geneva, AL, CCN 011309
• Donalsonville Hospital Inc Hospital, Donalsonville, GA, CCN 110194
• Medical Center Enterprise Hospital, Enterprise, AL, CCN 010049
• Hill Hospital of Sumter County Hospital, York, AL, CCN 010138

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Donalsonville Hospital Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1720095805
  Medicare reassignment Care Compare group NPD
• South Alabama Diagnostic Imaging PC

  dba John C Tomberlin

  • Diagnostic Radiology Physician
  • Bonifay, FL
  • NPI 1437332947
  Medicare reassignment NPD Authorized official
• South Alabama Diagnostic Imaging, P.C.

  • Diagnostic Radiology Physician
  • Geneva, AL
  • NPI 1477615938

  GA

  Medicare reassignment Authorized official
• Hill Hospital of York

  • General Acute Care Hospital
  • York, AL
  • NPI 1437344199
  Medicare reassignment NPD
• South Alabama Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Marianna, FL
  • NPI 1295008613
  NPD (past) Authorized official
• Hill Hospital of Sumter County

  dba Livingston Clinic

  • Clinic/Center
  • York, AL
  • NPI 1538594981
  NPD
• Navarre Open MRI LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Fort Walton Beach, FL
  • NPI 1497958466
  NPD
• Enterprise Therapy Center LLC

  • Physical Therapist
  • Enterprise, AL
  • NPI 1598825143
  NPD (past)

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

• Geneva County Healthcare Authority, Inc.

  dba Wiregrass Medical Center

  • Critical Access Hospital
  • Geneva, AL
  • NPI 1134955370
  Care Compare affiliation
• Hill Hospital of York

  dba Hill Hospital of Sumter County

  • General Acute Care Hospital
  • York, AL
  • NPI 1891801718
  Care Compare affiliation
• QHG of Enterprise Inc

  dba Medical Center Enterprise

  • General Acute Care Hospital
  • Enterprise, AL
  • NPI 1720039712
  Care Compare affiliation
• Donalsonville Hospital Inc

  • Rural Acute Care Hospital
  • Donalsonville, GA
  • NPI 1720095805
  Care Compare affiliation
• Holmes County Hospital Corp

  dba Doctors Memorial Hospital

  • Critical Access Hospital
  • Bonifay, FL
  • NPI 1366431702
  Care Compare affiliation

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1275511370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1928",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398181928",
            "telephone_number": "334-684-3655",
            "fax_number": "334-684-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 ANDREWS AVE",
            "address_2": "LYSTER ARMY HEALTH CLINIC",
            "city": "FORT RUCKER",
            "state": "AL",
            "postal_code": "36362",
            "telephone_number": "334-255-7387",
            "fax_number": "334-255-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBERLIN",
        "first_name": "JOHN",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME60438",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "10925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlon Thomas, TECHNICIAN
• Melissa Kay Thomas
• Paqueshia Defray Thomas, EMT
• Christopher Anthony Thompson, EMT
• Laura Lee Tinsley, LPTA
• Jeannie Lee Torres
• Jessica J Trawick-Edwards, AUDIOLOGY TECH
• Monique Rene' Trice, D.M.D
• Tabatha Renee Turner, EMT
• Patrisha L Twyman

• Diagnostic Radiology Physician in Fort Rucker, AL
• Providers in Fort Rucker, AL by specialty
• Diagnostic Radiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.