NPIMap

Individual provider Active NPI

Emily Rachel Tomlin, PA-C

  • Physician Assistant
  • Gainesville, FL
National Provider Identifier
1912399668
Registry record updated Mar 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9108597 Issued in FL
Practice address
4410 W Newberry Rd
Suite A3
Gainesville, FL 32607-5200
Phone
(352) 374-2818
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9108597 FL Primary

Addresses

Primary practice location

4410 W Newberry Rd
Suite A3
Gainesville, FL 32607-5200

Mailing address

4410 W Newberry Rd
Suite A3
Gainesville, FL 32607-5200
Phone (352) 374-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PA9108597FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian Lewis, M.D.,P.a. Past Accepting new patients
Medig Imaging LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1912399668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 W NEWBERRY RD",
            "address_2": "SUITE A3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075200",
            "telephone_number": "352-374-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 W NEWBERRY RD",
            "address_2": "SUITE A3",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326075200",
            "telephone_number": "352-374-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMLIN",
        "first_name": "EMILY",
        "middle_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9108597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.