Individual provider Active NPI

Tanner Neel Womble, MD. MBA

  • Student in an Organized Health Care Education/Training Program
  • Lexington, KY
National Provider Identifier
1851975296
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
IP1776 Issued in KY
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

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
IP1776KYMDStudent in an Organized Health Care Education/Training Program

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.