Mrs Tannisa D Bailey, APRN | |
1324 Highway 138 Sw, Riverdale, GA 30296 | |
(770) 907-4949 | |
(770) 907-4022 |
Full Name | Mrs Tannisa D Bailey |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1324 Highway 138 Sw, Riverdale, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649520800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | RN173039 (Georgia) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN173039 (Georgia) | Primary |
Entity Name | Grady Memorial Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Entity Name | Recovery Consultants Of Atlanta, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851482376 PECOS PAC ID: 1456654417 Enrollment ID: O20170215001854 |
Mailing Address | Practice Location Address |
---|---|
Mrs Tannisa D Bailey, APRN 1100 Ethans Way, Mcdonough, GA 30252-8578 Ph: (678) 565-4677 | Mrs Tannisa D Bailey, APRN 1324 Highway 138 Sw, Riverdale, GA 30296 Ph: (770) 907-4949 |
Karen Krechmery, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 770-994-9326 Fax: 770-994-4747 | |
Sharlene Maynor, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 81 Upper Riverdale Rd Sw, Ste 210, Riverdale, GA 30274 Phone: 770-996-1200 Fax: 770-907-2334 | |
Evelinn Suarez Blanks, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 83 Upper Riverdale Rd Sw Bldg 2, Riverdale, GA 30274 Phone: 770-991-0778 | |
Miss Antranika D. Ross, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Upper Riverdale Rd Sw Ste 107, Riverdale, GA 30274 Phone: 678-489-6734 Fax: 888-497-4760 | |
Dr. Qiana A Johnson, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1240 Highway 138 Sw, Riverdale, GA 30296 Phone: 470-575-6588 | |
Ubi Okim, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 11 Upper Riverdale Rd Sw, Riverdale, GA 30274 Phone: 313-850-0299 | |
Shibana Elder Cutter, MSN, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2798 Topaz Rd, Riverdale, GA 30296 Phone: 678-763-1869 |