Individual provider Active NPI

Thomas Allen Tomlin, MD

  • Family Medicine Physician
  • Ponte Vedra Beach, FL
National Provider Identifier
1427073907
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0039120 Issued in FL
Practice address
830 A1A N Ste 13-137
Ponte Vedra Beach, FL 32082-3287
Phone
(904) 608-1420
NPI assigned
Jul 13, 2006
Last updated
Apr 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0039120 FL Primary

Addresses

Primary practice location

830 A1A N Ste 13-137
Ponte Vedra Beach, FL 32082-3287

Mailing address

830 A1A N Ste 13-137
Ponte Vedra Beach, FL 32082-3287
Phone (904) 608-1420

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20111123000660 FL Practitioner - Family Practice 6103090329 Reassigns benefits to 1 organization
Practice locations: Ponte Vedra Beach, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0039120FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Vincents Ambulatory Care Inc CurrentSince May 1, 2017 Accepting new patients
St Vincents Ambulatory Care Inc CurrentSince May 1, 2017 Accepting new patients

Locations

1100 Sawgrass Village Dr
Ste 100
Ponte Vedra Beach, FL 32082
Phone (904) 285-9335

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, 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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619049600000",
    "number": "1427073907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 A1A N STE 13-137",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823287",
            "telephone_number": "904-608-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 A1A N STE 13-137",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823287",
            "telephone_number": "904-608-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "THOMAS",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0039120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.