Amanda Faye Tison, APRN, FNP-C | |
4837 Bill Gardner Pkwy Ste B, Locust Grove, GA 30248-3734 | |
(678) 800-1602 | |
Not Available |
Full Name | Amanda Faye Tison |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 5 Years |
Location | 4837 Bill Gardner Pkwy Ste B, Locust Grove, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164088977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 11002465 (Florida) | Secondary |
363LF0000X | Nurse Practitioner - Family | GAA-NP000337 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Peachtree Immediate Care Fp, Llc | 3274559323 | 251 |
Entity Name | Peachtree Immediate Care Fp, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437194156 PECOS PAC ID: 3274559323 Enrollment ID: O20051019000049 |
Mailing Address | Practice Location Address |
---|---|
Amanda Faye Tison, APRN, FNP-C 72 Bolingview Rd, Juliette, GA 31046-3932 Ph: (904) 507-1221 | Amanda Faye Tison, APRN, FNP-C 4837 Bill Gardner Pkwy Ste B, Locust Grove, GA 30248-3734 Ph: (678) 800-1602 |
Bridgette G Williams, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1201 Nottley Dr, Locust Grove, GA 30248 Phone: 770-597-7739 | |
Florence Achilihu Adiele, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5293 Heron Bay Blvd, Locust Grove, GA 30248 Phone: 706-769-7658 | |
Chavonn Done Davidson-smith, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 Norwell Ct, Locust Grove, GA 30248 Phone: 770-634-7470 | |
Michelle Denise Bush, RN, MSN, CRNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3758 Highway 42, Locust Grove, GA 30248 Phone: 678-561-9430 Fax: 770-914-1070 | |
Mrs. Stephanie Brazeal Jackson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 711 Trestle Rd, Locust Grove, GA 30248 Phone: 770-914-5934 | |
Linda Faulkner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4861 Bill Gardner Pkwy, Suite 100, Locust Grove, GA 30248 Phone: 770-626-5740 Fax: 770-626-5750 |