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WMC TYRONE LLC
NPI 1033132998
Specialist in Tyrone, GA

Active since July 25, 2006
190 HANDLEY RD, TYRONE, GA 30290(770) 997-5714(770) 997-2810 Get Directions Write a Review

NPPES record last updated: June 27, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Wmc Tyrone Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WMC TYRONE LLC (NPI 1033132998) is a healthcare organization registered as a specialist in Tyrone, Georgia and active in the NPI registry since July 2006. The organization lists Elizabeth Moore, President, as its authorized official.

NPPES Registry Identity

NPI1033132998
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameWMC TYRONE LLC
Location Address190 HANDLEY RDTyrone, GA 30290-2178
Mailing Address190 Handley Rd, Suite ATyrone, GA 30290-2178 · (770) 997-5714 · Fax (770) 997-2810
Phone(770) 997-5714
Fax(770) 997-2810
Organization SubpartNo
Authorized OfficialElizabeth MoorePresident · (770) 997-5714
Enumeration DateJuly 25, 2006
Last NPPES UpdateJune 27, 2011
✔ NPI 1033132998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
190 HANDLEY RD, Tyrone, GA 30290
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Other Identifiers 1

Medicare PIN511G700703

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wmc Tyrone Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Wmc Tyrone LLC, which bills Medicare for the services they deliver. Of these, 7 practice at this address. They are listed nearest first.

Clinicians, nearest first (9)

Marcella Marzett, NP
Nurse Practitioner
NPI 1366029381
190 HANDLEY RD STE A
Tyrone, GA 30290
(770) 997-5714
✔ PECOSSame address
Patricia Moore, M.D.
Obstetrics/Gynecology
NPI 1740204189
190 HANDLEY RD
Tyrone, GA 30290
(770) 997-5714
✔ PECOSSame address
Heather Cantrell, C.N.M.
Certified Nurse Midwife (CNM)
NPI 1255354114
190 HANDLEY RD
Tyrone, GA 30290
(770) 997-5714
✔ PECOSSame address
Gabrielle Cobb
Nurse Practitioner
NPI 1891643276
190 HANDLEY RD STE A
Tyrone, GA 30290
(770) 997-5714
✔ PECOSSame address
Ekemini Orok, MD
Obstetrics/Gynecology
NPI 1225598717
190 HANDLEY RD STE A
Tyrone, GA 30290
(770) 997-5714
✔ PECOSSame address
Elizabeth Moore, M.D.
Obstetrics/Gynecology
NPI 1073590485
190 HANDLEY RD
Tyrone, GA 30290
(770) 997-5714
✔ PECOSSame address
Ticaria Lipsey, M.D.
Obstetrics/Gynecology
NPI 1972795995
190 HANDLEY RD SUITE A
Tyrone, GA 30290
(770) 997-5714
✔ PECOSSame address
Paris Cannon-Mcallister
Obstetrics/Gynecology
NPI 1093276263
81 UPPER RIVERDALE RD SW STE 210
Riverdale, GA 30274
(770) 996-1200
✔ PECOS13 mi
Colby Fowler
Certified Nurse Midwife (CNM)
NPI 1437684412
3601 THE VANDERBILT CLINIC
Nashville, TN 37232
(615) 322-5000
✔ PECOS✔ Accepts Medicare223 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wmc Tyrone LLC's NPI number?

The NPI number for Wmc Tyrone LLC is 1033132998. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Wmc Tyrone LLC located?

Wmc Tyrone LLC is located at 190 Handley Rd, Tyrone, GA 30290. The listed phone number is (770) 997-5714.

What is Wmc Tyrone LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Wmc Tyrone LLC enrolled in Medicare?

Yes. Wmc Tyrone LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Wmc Tyrone LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Wmc Tyrone LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Obstetrics/Gynecology (5), Certified Nurse Midwife (CNM) (2) and Nurse Practitioner (2). Of these, 7 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Wmc Tyrone LLC was last updated on June 27, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.