Individual provider Active NPI

Tia M Alton, MD

  • Pediatrics Physician
  • Shelbyville, KY
National Provider Identifier
1639468812
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
46839 Issued in KY
Practice address
150 Frankfort Rd Ste 101
Shelbyville, KY 40065-7401
Phone
(502) 647-5468
Fax
(502) 647-7134
NPI assigned
Mar 29, 2011
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics Physician 208000000X 46839 KY Primary

Addresses

Primary practice location

150 Frankfort Rd Ste 101
Shelbyville, KY 40065-7401

Mailing address

PO Box 776879
Chicago, IL 60677-6879
Phone (502) 272-5395

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address talton43481@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20140807001698 KY Practitioner - Pediatric Medicine 4183841554 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
46839KYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. Pediatrics CurrentSince Aug 1, 2014 Accepting new patients
Community Medical Associates, Inc. Current Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
Norton Children's Medical Group, LLC Pediatrics CurrentSince Mar 1, 2020 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Mar 1, 2020 Accepting new patients
Community Medical Associates, Inc. CurrentSince Aug 1, 2014 Accepting new patients

Locations

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

150 Frankfort Rd
Ste 101
Shelbyville, KY 40065
Phone (502) 647-5468

Organizations & group practices 6

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": "1301356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1639468812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776879",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776879",
            "telephone_number": "502-272-5395",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 FRANKFORT RD STE 101",
            "city": "SHELBYVILLE",
            "state": "KY",
            "postal_code": "400657401",
            "telephone_number": "502-647-5468",
            "fax_number": "502-647-7134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTON",
        "first_name": "TIA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-29",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "46839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "talton43481@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "150 Frankfort Rd Ste 101",
            "city": "Shelbyville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "150 Frankfort Rd Ste 101",
            "city": "Shelbyville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "40065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shelbyville, KY

Sources for this page

Verify at the official NPI Registry.