HOMA BOMS (MD) – Obstetrics & Gynecology Physician, NPI 1003496696

HOMA BOMS (MD) is a healthcare provider. based in Hermitage, Tennessee. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 74509 (TN). The NPI Number for HOMA BOMS (MD) is 1003496696

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
HOMA BOMS (MD)
NPI
1003496696
Phone
(615) 874-8006
Address
5651 FRIST BLVD STE 500
Enumeration Date
9 April 2021
Last Update Date
8 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
6158748006
Graduation Year
2021 (5 years ago)
PAC ID
7012326747
Group Practice PAC ID
4789938721
Professional Enrollment ID
I20250729000389
Address ID
TN370762059HE5651XBLVD301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness85
Years active:5State licenses:1Digital endpointsOther names

897 OBSTETRICS/GYNECOLOGY in TN

Provider Addresses for HOMA BOMS (MD)

  • 5651 FRIST BLVD STE 500

    HERMITAGE, TN 370762059

    Phone: (615) 874-8006

    Fax: (615) 316-4026

    Type: Mailing

  • 7512 SHELDON PARK DR

    NOLENSVILLE, TN 371359571

    Phone: (615) 818-9976

    Type: Mailing

  • 4201 SAINT ANTOINE ST STE 4E4F

    DETROIT, MI 482012153

    Phone: (313) 745-4380

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250729000389IObstetrics/GynecologyTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37076)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789938721View full group profile
NameSpecialtyState
-TN
Nurse PractitionerTN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN
-TN
Nurse PractitionerTN
O B S T E T R I C S/ G Y N E C O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YTN
O B S T E T R I C S/ G Y N E C O L O G YTN

Reviews

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Frequently asked questions

What number should I use to identify HOMA BOMS (MD) for billing?
Administrative and clinical systems typically use NPI 1003496696 for HOMA BOMS (MD).
Is HOMA BOMS (MD) currently accepting referrals based on NPI status?
Registry metadata lists HOMA BOMS (MD) as active.
Which specialty label fits HOMA BOMS (MD)?
NPPES ties HOMA BOMS (MD) to Obstetrics & Gynecology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is HOMA BOMS (MD) tied to Hermitage, Tennessee?
If you are local to Hermitage, Tennessee, HOMA BOMS (MD) may be relevant to your search.
Why is information missing for HOMA BOMS (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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