Organization Active NPI

William D. Tumlin

  • Family Medicine Physician
  • Lexington, GA
National Provider Identifier
1770580300
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N/A Issued in GA
Legal business name
WILLIAM D. TUMLIN
Practice address
774 Athens Rd
Lexington, GA 30648-1908
Phone
(706) 743-8183
Fax
(706) 743-3233
NPI assigned
Jun 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Gail D Heard
Title
Office Manager
Phone
(706) 743-8183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X N/A GA Primary

Addresses

Primary practice location

774 Athens Rd
Lexington, GA 30648-1908

Mailing address

PO Box 69
Lexington, GA 30648-0069
Phone (706) 743-8183

Other identifiers 5

IdentifierTypeStateIssuer
021100OtherGABLUECROSSBLUESHIELD
083452OtherGABLUECROSSBLUESHIELD
00753497BMedicaidGA
00147419AMedicaidGA
00665794AMedicaidGA

Other names 1

  • Crawford Lexington Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1770580300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "LEXINGTON",
            "state": "GA",
            "postal_code": "306480069",
            "telephone_number": "706-743-8183",
            "fax_number": "706-743-3233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 ATHENS RD",
            "city": "LEXINGTON",
            "state": "GA",
            "postal_code": "306481908",
            "telephone_number": "706-743-8183",
            "fax_number": "706-743-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D. TUMLIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-28",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "HEARD",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-743-8183"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "021100",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "083452",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00753497B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00147419A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00665794A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crawford Lexington Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.