NPIMap

Individual provider Active NPI

Audrey K Tolbert, M.D.

  • Internal Medicine Physician
  • Cookeville, TN
National Provider Identifier
1346240009
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD31325 Issued in TN
Practice address
345 W Broad St
Cookeville, TN 38501-2331
Phone
(931) 528-2300
Fax
(931) 528-2305
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD31325 TN Primary

Addresses

Primary practice location

345 W Broad St
Cookeville, TN 38501-2331

Mailing address

345 W Broad St
Cookeville, TN 38501-2331
Phone (931) 528-2300

Other identifiers 2

IdentifierTypeStateIssuer
3128973OtherTNBLUE CROSS BLUE SHIELD
3838983MedicaidTN

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
I20100910000335 TN Practitioner - Internal Medicine 5890810147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audrey Karen TolbertGroup PAC ID 1456477926, 2 clinicians

Practice addresses (Care Compare)

345 W Broad St
Cookeville, TN 38501-2331
Phone (931) 528-2300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.2 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
77.33

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD31325TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Audrey Karen Tolbert Internal Medicine CurrentSince Jun 1, 2003 Accepting new patients

Locations

345 W Broad St
Cookeville, TN 38501
Phone (931) 528-2300

Interoperability endpoints

  • Direct secure messaging: audreytolbert@tnmhpf.allscriptsdirect.net

Organizations & group practices 2

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 12

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": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1346240009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W BROAD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012331",
            "telephone_number": "931-528-2300",
            "fax_number": "931-528-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W BROAD ST",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012331",
            "telephone_number": "931-528-2300",
            "fax_number": "931-528-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLBERT",
        "first_name": "AUDREY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD31325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3128973",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3838983",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

Verify at the official NPI Registry.