Active NPI
Thomas Reid Rumble, MD
- Psychiatry Physician
- Dublin, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 013078
- Practice address
- 2121A Bellevue Rd
Dublin, GA 31021-2998 - Phone
- (478) 272-1190
- Fax
- (478) 274-7628
- NPI assigned
- Dec 30, 2005
- Last updated
- Jan 10, 2014
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 013078 | GA | Primary |
Addresses
Primary practice location
2121A Bellevue Rd
Dublin, GA 31021-2998
Mailing address
2121A Bellevue Rd
Dublin, GA 31021-2998
Phone (478) 272-1190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 582109771 | Other | GA | TAX ID |
| 046072000 | Other | MIS | |
| 000606284H | Medicaid | GA | |
| 300030912A | Medicaid | GA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Emory University School of Medicine, 1965
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2121 A Bellevue Rd
Dublin, GA 31021-2998
Phone (478) 272-1190
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Service Board of Middle Georgia | Current | Accepting new patients | |
| Community Service Board of Middle Georgia | Past | Accepting new patients | |
| West Penn Allegheny Health System Inc. | Past | Accepting new patients |
Locations
2121A Bellevue Rd
Dublin, GA 31021
Phone (478) 272-1190
223 N Anderson Dr
Swainsboro, GA 30401
Phone (478) 289-2522
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Community Mental Health Center of Middle Georgia
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Dublin, GA
- NPI 1689657637
-
- Community/Behavioral Health Agency
- Dublin, GA
- NPI 1104255256
-
dba The Western Pennsylvania Hospital
- Oncology Clinic/Center
- Pittsburgh, PA
- NPI 1346489143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389312000000",
"number": "1306823323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121A BELLEVUE RD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212998",
"telephone_number": "478-272-1190",
"fax_number": "478-274-7628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121A BELLEVUE RD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212998",
"telephone_number": "478-272-1190",
"fax_number": "478-274-7628"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUMBLE",
"first_name": "THOMAS",
"middle_name": "REID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2014-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "GA",
"license": "013078",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "582109771",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIS",
"identifier": "046072000",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000606284H",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300030912A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; 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.