NPIMap

Individual provider Active NPI

Rommer M. Tayag, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Warner Robins, GA
National Provider Identifier
1831147669
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
047951 Issued in GA
Practice address
1743 Watson Blvd
Suite B
Warner Robins, GA 31093-3633
Phone
(478) 929-2909
Fax
(478) 929-2242
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 047951 GA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 047951 GA Primary

Addresses

Primary practice location

1743 Watson Blvd
Suite B
Warner Robins, GA 31093-3633

Mailing address

1743 Watson Blvd
Suite B
Warner Robins, GA 31093-3633
Phone (478) 929-2909

Other identifiers 1

IdentifierTypeStateIssuer
000873133FMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041014001038 GA Practitioner - Geriatric MedicinePractitioner - Internal Medicine 4789644675 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1743 Watson Blvd
Suite B
Warner Robins, GA 31093-3622
Phone (478) 929-2909

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Macon, GA, CCN 117152
  • Amedisys Home Health of Macon Home health agency, Macon, GA, CCN 117093
  • Adoration Home Health Home health agency, Macon, GA, CCN 117135
  • Emory Houston Hospital Warner Robins Hospital, Warner Robins, GA, CCN 110069
  • Northside Hospital Hospital, Atlanta, GA, CCN 110161
  • Atrium Health Navicent the Medical Center Hospital, Macon, GA, CCN 110107
  • Atrium Health Navicent Peach Hospital, Byron, GA, CCN 111310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care & Geriatrics Associates of Central Georgia, L.L.C Internal Medicine CurrentSince Jun 1, 2020 Accepting new patients
Primary Healthcare Center, P.C. Past Accepting new patients

Locations

1743 Watson Blvd
Ste B
Warner Robins, GA 31093
Phone (478) 328-2122

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 8

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216598400000",
    "number": "1831147669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1743 WATSON BLVD",
            "address_2": "SUITE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933633",
            "telephone_number": "478-929-2909",
            "fax_number": "478-929-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1743 WATSON BLVD",
            "address_2": "SUITE B",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933633",
            "telephone_number": "478-929-2909",
            "fax_number": "478-929-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYAG",
        "first_name": "ROMMER",
        "middle_name": "M.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2008-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047951",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "047951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000873133F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warner Robins, GA

Sources for this page

Verify at the official NPI Registry.