Tara Misko, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP003805 Issued in GA

Practice address

300 Dawson Commons Cir
Dawsonville, GA 30534-6268

Phone

(706) 216-2771

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tmisko@dawson.pcc-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1225356868
  Medicare reassignment NPD
• Poudre Valley Medical Group, LLC

  • General Practice Physician
  • Loveland, CO
  • NPI 1366763260
  NPD
• Dawson Pediatrics,PC

  • Pediatrics Physician
  • Dawsonville, GA
  • NPI 1750435749
  NPD (past)
• Aggie Pediatrics, LLC

  • Pediatrics Physician
  • Greeley, CO
  • NPI 1710459045
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1003690397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4190 MADISON DR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300405467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DAWSON COMMONS CIR",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305346268",
            "telephone_number": "706-216-2771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MISKO",
        "first_name": "TARA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medscan LLC
• Mercedes Kamerman PSYD LLC
• Alan Marshall Metzel, PSY.D
• David Meuesen, PT, DPT
• Christine Ann Milo, FNP-BC
• Modern Hearing, LLC
• Megan Moore
• Shawn William Moore, FNP-C
• Michelle L Morrow, D.M.D.
• Anna Lauren Mullins, LMHC

• Family Nurse Practitioner in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.