Takeya Renee Fogle, NP-C - Medicare Nurse Practitioner in Cedartown, GA

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Takeya Renee Fogle, NP-C is a medicare enrolled "Nurse Practitioner" in Cedartown, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Harbin Clinic Llc and her current practice location is 14 Cherokee Rd, Cedartown, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 749-9600.

Takeya Renee Fogle is licensed to practice in Georgia (license number RN193378) 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 1306351911.

Contact Information

Takeya Renee Fogle, NP-C
14 Cherokee Rd,
Cedartown, GA 30125-4381
(770) 749-9600
(770) 749-9628

Map and Direction




Provider's Profile

Full NameTakeya Renee Fogle
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location14 Cherokee Rd, Cedartown, 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:
  • Takeya Renee Fogle graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1306351911
  • Provider Enumeration Date: 12/05/2017
  • Last Update Date: 04/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1355606419
  • Enrollment ID: I20180521002682

Medical Identifiers

Medical identifiers for Takeya Renee Fogle such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1306351911NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner RN193378 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Harbin Clinic Llc0446154231257

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. Takeya Renee Fogle allows following entities to bill medicare on her behalf.
Entity NameHarbin Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679599088
PECOS PAC ID: 0446154231
Enrollment ID: O20031124000117

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. Takeya Renee Fogle 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
Takeya Renee Fogle, NP-C
221 Technology Pkwy Nw,
Rome, GA 30165-1369

Ph: (706) 295-5331		Takeya Renee Fogle, NP-C
14 Cherokee Rd,
Cedartown, GA 30125-4381

Ph: (770) 749-9600

Reviews and Comments


Nurse Practitioner Nurses in Cedartown, GA

Mrs. Carmen Regiena Robinson, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 180 Water Oak Dr, Cedartown, GA 30125
Phone: 770-748-0030    Fax: 770-749-4418
Cherry Lee Tison, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 424 N Main St, Cedartown, GA 30125
Phone: 770-748-2500    
Susan B Wilson, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 134 E Fairmount Ave, Cedartown, GA 30125
Phone: 770-748-5212    Fax: 770-748-2944
Jina Lynn Ford, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1168 N Main St, Cedartown, GA 30125
Phone: 770-749-1005    
Hannah Bell Helton, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2360 Rockmart Hwy, Cedartown, GA 30125
Phone: 770-748-2500    
Mandy Leann Kisor, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 14 Cherokee Rd, Cedartown, GA 30125
Phone: 770-749-5400    Fax: 770-749-9628

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.