Tia Giovanna Tyler, FNP | |
1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087-3306 | |
(470) 444-3134 | |
(470) 276-4370 |
Full Name | Tia Giovanna Tyler |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 1825 Rockbridge Rd Ste 15b, Stone Mountain, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235668153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 2017016289 (Missouri) | Secondary |
363LF0000X | Nurse Practitioner - Family | RN307702 (Georgia) | Primary |
Entity Name | Southeastern Physician Services Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083835441 PECOS PAC ID: 0042307852 Enrollment ID: O20160809000235 |
Entity Name | Ipc Pac Healthcare Services Of Missouri Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326497587 PECOS PAC ID: 4587950589 Enrollment ID: O20160830002898 |
Mailing Address | Practice Location Address |
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Tia Giovanna Tyler, FNP Po Box 740015, Atlanta, GA 30374-0015 Ph: (312) 733-9730 | Tia Giovanna Tyler, FNP 1825 Rockbridge Rd Ste 15b, Stone Mountain, GA 30087-3306 Ph: (470) 444-3134 |
Mrs. Sherly John, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4958 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-809-2408 | |
Wendy Woodward Schaal, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5320 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-508-6499 | |
Roneshia Michelle Rudolph-meadows, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 Fax: 770-322-6191 | |
Julie Noelle Knisely, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5582 Memorial Dr, Stone Mountain, GA 30083 Phone: 404-298-8998 | |
Pauline Kpannah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4952 Green Bark Cir E, Stone Mountain, GA 30083 Phone: 678-396-0843 | |
Nikeisha Clevia Oliver, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1227 Rockbridge Rd, Stone Mountain, GA 30087 Phone: 770-413-1476 | |
Andrea Zmaj, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5674 Memorial Dr, Stone Mountain, GA 30083 Phone: 770-322-6161 |