Individual provider Active NPI

Taurus Rafeal Womble, NP-C

  • Family Nurse Practitioner
  • Austell, GA
National Provider Identifier
1619510740
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP222710 Issued in GA
Practice address
3950 Austell Rd
Austell, GA 30106-1121
Phone
(470) 732-4000
NPI assigned
Oct 22, 2019
Last updated
Dec 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP222710 GA Primary

Addresses

Primary practice location

3950 Austell Rd
Austell, GA 30106-1121

Mailing address

2957 Pebble LN
Snellville, GA 30078-2754
Phone (404) 319-9664

Other practice location 1

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141-2068
Phone (470) 644-7000

Other practice location 2

8954 Hospital Dr
Douglasville, GA 30134-2272
Phone (770) 949-1500

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
I20200302002280 GA Practitioner - Nurse Practitioner 9234566324 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gwinnett Emergency Specialists, LLCGroup PAC ID 0840373619, 50 clinicians
Joseph M Still Burn Centers, IncGroup PAC ID 7618963638, 47 clinicians

Practice addresses (Care Compare)

1000 Medical Ctr Blvd
Lawrenceville, GA 30046-7694
Phone (954) 939-5000

3950 Austell Rd
Austell, GA 30106-1121
Phone (706) 863-9595

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN-NP222710GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph M Still Burn Centers, Inc CurrentSince Apr 25, 2023 Accepting new patients
Gwinnett Emergency Specialists, LLC CurrentSince Mar 1, 2024 Accepting new patients
Gwinnett Emergency Specialists Observation Services, LLC CurrentSince Mar 1, 2024 Accepting new patients
The Bortolazzo Group, LLC CurrentSince Oct 15, 2019 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Aug 19, 2023 Accepting new patients

Locations

3651 Wheeler Rd
Augusta, GA 30909
Phone (706) 651-3232

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

2518 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (470) 644-7000

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

2160 Fountain Dr
Snellville, GA 30078
Phone (770) 982-1111

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1619510740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2957 PEBBLE LN",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782754",
            "telephone_number": "404-319-9664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "470-732-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2518 Jimmy Lee Smith Pkwy",
            "address_purpose": "LOCATION",
            "city": "Hiram",
            "state": "GA",
            "postal_code": "301412068",
            "country_code": "US",
            "telephone_number": "470-644-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8954 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342272",
            "country_code": "US",
            "telephone_number": "770-949-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "TAURUS",
        "middle_name": "RAFEAL",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-22",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP222710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

Verify at the official NPI Registry.