Individual provider Active NPI

James Clinton Tomol

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1679319701
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP301351 Issued in GA
Practice address
1160 Capital Ave Ste 105
Watkinsville, GA 30677-1832
Phone
(706) 521-3113
NPI assigned
Jul 8, 2024
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 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-NP301351 GA Primary

Addresses

Primary practice location

1160 Capital Ave Ste 105
Watkinsville, GA 30677-1832

Mailing address

215 Ferncliff Dr
Athens, GA 30606-2305
Phone (704) 236-7541

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
I20240801000732 GA Practitioner - Nurse Practitioner 5395282941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medlink Georgia IncGroup PAC ID 3274442850, 93 clinicians

Practice addresses (Care Compare)

1160 Capital Ave
Suite 105
Watkinsville, GA 30677-1832
Phone (706) 521-3113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP301351GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medlink Georgia Inc CurrentSince Aug 5, 2024 Accepting new patients
Medlink Georgia, Inc CurrentSince Aug 5, 2024 Accepting new patients
Medlink Georgia Inc Past Accepting new patients

Locations

11 Charlie Morris Rd
Bldg 2
Colbert, GA 30628
Phone (706) 738-3234

1160 Capital Ave
Ste 105
Watkinsville, GA 30677
Phone (706) 521-3113

Interoperability endpoints

  • Direct secure messaging: james.tomol.1@9864.direct.athenahealth.com
  • Direct secure messaging: james.tomol@mgi.eclinicaldirectplus.com

Organizations & group practices 3

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1679319701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 FERNCLIFF DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062305",
            "telephone_number": "704-236-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 CAPITAL AVE STE 105",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306771832",
            "telephone_number": "706-521-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMOL",
        "first_name": "JAMES",
        "middle_name": "CLINTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-08",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP301351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.