Robert J. Pomphrey, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD29910 Issued in TN

Practice address

16615 Highway 104 N Ste B
Lexington, TN 38351-5753

Phone

(731) 968-0660

Fax

(731) 968-0007

NPI assigned

May 31, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  TN

  Medicare reassignment NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  TN

  Medicare reassignment NPD
• Alicia Gaile Springer, NP

  • Rural Health Clinic/Center
  • Lexington, TN
  • NPI 1417928854
  Medicare reassignment
• Springer Medical Associates

  • Rural Health Clinic/Center
  • Lexington, TN
  • NPI 1235482084
  NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD

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

{
    "created_epoch": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1861495152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 BELL STORE RD",
            "city": "GLEASON",
            "state": "TN",
            "postal_code": "382296418",
            "telephone_number": "731-571-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16615 HIGHWAY 104 N STE B",
            "city": "LEXINGTON",
            "state": "TN",
            "postal_code": "383515753",
            "telephone_number": "731-968-0660",
            "fax_number": "731-968-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMPHREY",
        "first_name": "ROBERT",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD29910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD29910",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q055139",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia a Kirk DPM
• Michael Lee Patterson, O.D.
• Nicholas Peterson
• Katie Pigg, PHARMD
• Leann Ploeger, CSFA
• Professional Arts Pharmacy
• Professional Arts Pharmacy, LLC
• Professional Arts Pharmacy, LLC
• Professional Arts Pharmacy, LLC
• Prosperity Chiropractic LLC

• Family Medicine Physician in Lexington, TN
• Providers in Lexington, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.

Verify at the official NPI Registry.