Active NPI
Tanner Neel Womble, MD. MBA
- Student in an Organized Health Care Education/Training Program
- Lexington, KY
National Provider Identifier
1851975296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- IP1776
- Practice address
- 1000 S Limestone Albert B Chandler Hospital Pavilion a
Lexington, KY 40536-2286 - Phone
- (859) 323-2131
- NPI assigned
- May 11, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | IP1776 | KY | Primary |
Addresses
Primary practice location
1000 S Limestone Albert B Chandler Hospital Pavilion a
Lexington, KY 40536-2286
Mailing address
1000 S Limestone Albert B Chandler Hospital
Lexington, KY 40536-2286
Phone (859) 323-2131
Other practice location 1
100 Eastowne Dr
Chapel Hill, NC 27514-2286
Phone (984) 974-4462
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IP1776 | KY | MD | Student in an Organized Health Care Education/Training Program |
Interoperability endpoints
- twomble355357@directhisp.wakemed.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1851975296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 S LIMESTONE ALBERT B CHANDLER HOSPITAL",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405362286",
"telephone_number": "859-323-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 S LIMESTONE ALBERT B CHANDLER HOSPITAL PAVILION A",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405362286",
"telephone_number": "859-323-2131"
}
],
"practiceLocations": [
{
"address_1": "100 Eastowne Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "275142286",
"country_code": "US",
"telephone_number": "984-974-4462",
"fax_number": "919-843-0740",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOMBLE",
"first_name": "TANNER",
"middle_name": "NEEL",
"credential": "MD. MBA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-05-11",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "KY",
"license": "IP1776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.