Active NPI
Clifford J Tumambing, MD
- Family Medicine Physician
- Lagrange, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 68326
- Practice address
- 1698 Vernon Rd
Lagrange, GA 30240-4100 - Phone
- (706) 298-4937
- NPI assigned
- Jul 2, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | LL31844 | SC | |
| Hospitalist Physician | 208M00000X | 68326 | GA | |
| Family Medicine Physician | 207Q00000X | 68326 | GA | Primary |
Addresses
Primary practice location
1698 Vernon Rd
Lagrange, GA 30240-4100
Mailing address
1698 Vernon Rd
Lagrange, GA 30240-4100
Phone (706) 298-4937
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Medical College of Georgia School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1399 Lafayette Pkwy
Lagrange, GA 30241-2572
Phone (706) 298-4937
1698 Vernon Rd
Lagrange, GA 30240-4100
Phone (706) 298-4937
Hospital & facility affiliations
- Adoration Home Health
- Centerwell Home Health
- West Georgia Home Care
- Wellstar West Georgia Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68326 | GA | MD | Family Medicine Physician |
| LL31844 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hometown Physician Group, LLC | Family Medicine | Current | Accepting new patients |
Locations
1698 Vernon Rd
Lagrange, GA 30240
Phone (706) 298-4937
1399 Lafayette Pkwy
Lagrange, GA 30241
Phone (706) 298-4937
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ICCJAD
- clifford.tumambing@westgahealth.gadirect.net
- ms_ctumambi@landmarkhealth-direct.org
- clifford.tumambing@htpg.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Lagrange, GA
- NPI 1992153548
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Columbus, GA
- NPI 1184651531
-
- Home Health Agency
- Columbus, GA
- NPI 1245389824
-
- Home Health Agency
- Lagrange, GA
- NPI 1558594887
-
- General Acute Care Hospital
- Lagrange, GA
- NPI 1821221144
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710979200000",
"number": "1992934640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1698 VERNON RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404100",
"telephone_number": "706-298-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1698 VERNON RD",
"city": "LAGRANGE",
"state": "GA",
"postal_code": "302404100",
"telephone_number": "706-298-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUMAMBING",
"first_name": "CLIFFORD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-02",
"last_updated": "2024-03-21",
"certification_date": "2024-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "LL31844",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "GA",
"license": "68326",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "68326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lagrange, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.