Active NPI
Jillian Tomol, MSN, CNM
- Advanced Practice Midwife
- Watkinsville, GA
National Provider Identifier
1487499257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- CNM09443
- Practice address
- 1430 Bent Creek Rd
Watkinsville, GA 30677-7564 - Phone
- (919) 522-2825
- NPI assigned
- Jun 25, 2024
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM09443 | GA | Primary |
Addresses
Primary practice location
1430 Bent Creek Rd
Watkinsville, GA 30677-7564
Mailing address
1430 Bent Creek Rd
Watkinsville, GA 30677-7564
Phone (919) 522-2825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM09443 | GA | MD | Advanced Practice Midwife |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729209600000",
"number": "1487499257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 BENT CREEK RD",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777564",
"telephone_number": "919-522-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 BENT CREEK RD",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777564",
"telephone_number": "919-522-2825"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOMOL",
"first_name": "JILLIAN",
"credential": "MSN, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-25",
"last_updated": "2024-10-18",
"certification_date": "2024-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "CNM09443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.