Individual provider Active NPI

Madison Voss Tomberlin, FNP-C

  • Urology Physician
  • Garden City, GA
National Provider Identifier
1407536741
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
RN297300 Issued in GA
Practice address
82 Main St
Garden City, GA 31408-1415
Phone
(912) 819-2430
Fax
(912) 819-3320
NPI assigned
Jul 21, 2023
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X RN297300 GA Primary

Addresses

Primary practice location

82 Main St
Garden City, GA 31408-1415

Mailing address

82 Main St
Garden City, GA 31408-1415
Phone (912) 819-2430

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230804002128 GA Practitioner - Nurse Practitioner 8325409469 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN297300GAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Urological Associates of Savannah, PC Urology CurrentSince Aug 1, 2023 Accepting new patients

Locations

230 E Derenne Ave
Savannah, GA 31405
Phone (912) 790-4000

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.153

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1407536741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 MAIN ST",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314081415",
            "telephone_number": "912-819-2430",
            "fax_number": "912-819-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 MAIN ST",
            "city": "GARDEN CITY",
            "state": "GA",
            "postal_code": "314081415",
            "telephone_number": "912-819-2430",
            "fax_number": "912-819-3320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMBERLIN",
        "first_name": "MADISON",
        "middle_name": "VOSS",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "RN297300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garden City, GA

Sources for this page

Verify at the official NPI Registry.