Mrs Tara Phelps Gulsby, NP-C - Medicare Nurse Practitioner in Loganville, GA

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Mrs Tara Phelps Gulsby, NP-C is a medicare enrolled "Nurse Practitioner" in Loganville, Georgia. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Piedmont Providers Llc and her current practice location is 3869 Highway 81, Loganville, Georgia. You can reach out to her office (for appointments etc.) via phone at (678) 635-8650.

Mrs Tara Phelps Gulsby is licensed to practice in Georgia (license number RN209319) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568897767.

Contact Information

Mrs Tara Phelps Gulsby, NP-C
3869 Highway 81,
Loganville, GA 30052-3918
(678) 635-8650
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tara Phelps Gulsby
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location3869 Highway 81, Loganville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Tara Phelps Gulsby graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1568897767
  • Provider Enumeration Date: 09/06/2013
  • Last Update Date: 08/09/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 9234369885
  • Enrollment ID: I20140227002188

Medical Identifiers

Medical identifiers for Mrs Tara Phelps Gulsby such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568897767NPI-NPPES
003143806GMedicaidGA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN209319 (Georgia)Secondary
363L00000XNurse Practitioner RN209319 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Walton HospitalMonroe, GAHospital
Eastside Medical CenterSnellville, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Piedmont Providers Llc9830082825367

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tara Phelps Gulsby allows following entities to bill medicare on her behalf.
Entity NamePiedmont Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548273592
PECOS PAC ID: 9830082825
Enrollment ID: O20040204000321
Entity NameAga, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124064118
PECOS PAC ID: 2365431350
Enrollment ID: O20040506000726
Entity NameAga Professional Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063799120
PECOS PAC ID: 3870768997
Enrollment ID: O20111219000311
Entity NameAga Clinical Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295193399
PECOS PAC ID: 7719273838
Enrollment ID: O20160915000872

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Phelps Gulsby is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tara Phelps Gulsby, NP-C
1001 Summit Blvd Ste 200,
Brookhaven, GA 30319-6410

Ph: (770) 989-1668		Mrs Tara Phelps Gulsby, NP-C
3869 Highway 81,
Loganville, GA 30052-3918

Ph: (678) 635-8650

Reviews and Comments


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Mrs. Kimberly Denise Pegues, FNP-C
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Practice Location: 3869 Highway 81, Loganville, GA 30052
Phone: 678-635-8650    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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