Kimberly A Tabor, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO1379 Issued in TN

Practice address

1559 Sparta St
McMinnville, TN 37110-1316

Phone

(931) 815-4000

NPI assigned

Aug 25, 2005

Last updated

Jun 2, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.tabor.1@1854.direct.athenahealth.com

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.

• Post-Acute Physicians of Tennessee PLLC

  • Physical Medicine & Rehabilitation Physician
  • Nashville, TN
  • NPI 1134672314
  Medicare reassignment NPD
• Saint Thomas Medical Partners

  dba Ascension Medical Group Saint Thomas

  • Internal Medicine Physician
  • Nashville, TN
  • NPI 1437194669

  Family Medicine

  Medicare reassignment NPD
• Tabor Family Medicine PLLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1417155292
  NPD (past) Authorized official
• 1101 Primary Care, PLLC

  • Family Medicine Physician
  • Cookeville, TN
  • NPI 1083074587
  NPD (past)
• Jane Anne Gotcher MD LLC

  • Primary Care Clinic/Center
  • Cookeville, TN
  • NPI 1427573211
  NPD (past)
• Medical Observation Services LLC

  • Emergency Medicine Physician
  • Cookeville, TN
  • NPI 1669734877
  NPD (past)
• Saint Thomas River Park Hospital, LLC

  dba Ascension Saint Thomas River Park

  • Rehabilitation Hospital Unit
  • McMinnville, TN
  • NPI 1710368220
  NPD (past)
• Volunteer Medical Group, P.C.

  • Emergency Medicine Physician
  • Cookeville, TN
  • NPI 1801886999
  NPD (past)
• White County Physician Services Inc

  • Family Medicine Physician
  • Brentwood, TN
  • NPI 1417950122
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1609869684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 WOODSTEAD CT STE 208",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773801480",
            "telephone_number": "877-749-7428",
            "fax_number": "512-628-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 SPARTA ST",
            "city": "MCMINNVILLE",
            "state": "TN",
            "postal_code": "371101316",
            "telephone_number": "931-815-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 Walnut Commons Lane",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Cookeville",
            "state": "TN",
            "postal_code": "385014243",
            "country_code": "US",
            "telephone_number": "931-526-4600",
            "fax_number": "931-526-4512",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Winchester",
            "state": "TN",
            "postal_code": "373982404",
            "country_code": "US",
            "telephone_number": "877-749-7428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-25",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "1379",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO1379",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517769",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Strunk, LCSW
• Delanie Autumn Sullivan, PHARM D
• Sullivans Hometown Pharmacy LLC
• Zachary Sutton, PT
• Laura Tabala
• Alma Macatangay Tamula, MD
• Ashley Nicole Tate, NP
• Devan Taylor, PTA
• Hailey Taylor, FNP-C
• James Whitley Taylor, D.PH.

• Family Medicine Physician in McMinnville, TN
• Providers in McMinnville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.