Individual provider Active NPI

James Todd Tumlin, PAC

  • Surgical Physician Assistant
  • Gadsden, AL
National Provider Identifier
1659304079
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA241 Issued in AL
Practice address
507 S 4TH St
Gadsden, AL 35901
Phone
(256) 547-7417
Fax
(256) 547-7414
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA241 AL Primary

Addresses

Primary practice location

507 S 4TH St
Gadsden, AL 35901

Mailing address

507 S 4TH St
Gadsden, AL 35901
Phone (256) 547-7417

Other identifiers 1

IdentifierTypeStateIssuer
PA241OtherALSTATE MED LIC BD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20120206000512 AL Practitioner - Physician Assistant 2365609104 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Orthopedic CentersGroup PAC ID 2466430004, 19 clinicians

Practice addresses (Care Compare)

1906 Glenn Blvd SW
Suite 1200
Fort Payne, AL 35968-3547
Phone (256) 364-8303

3102 Rainbow Dr
Rainbow City, AL 35906-5804

507 S 4TH St
Gadsden, AL 35901-5216
Phone (256) 547-7417

800 Pelham Rd S
Jacksonville, AL 36265-2736
Phone (256) 456-0435

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA241ALMDSurgical Physician Assistant

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 and National Provider Directory roles.

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659304079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35901",
            "telephone_number": "256-547-7417",
            "fax_number": "256-547-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 S 4TH ST",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "35901",
            "telephone_number": "256-547-7417",
            "fax_number": "256-547-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUMLIN",
        "first_name": "JAMES",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AL",
            "license": "PA241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MED LIC BD",
            "identifier": "PA241",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gadsden, AL

Sources for this page

Verify at the official NPI Registry.