Active NPI
Tonya Pepper, P.A.-C
- Physician Assistant
- Lithia Springs, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA04195
- Practice address
- 644 Thornton Rd
Lithia Springs, GA 30122 - Phone
- (678) 915-9887
- NPI assigned
- Aug 13, 2006
- Last updated
- Oct 8, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA04195 | TX | Primary |
Addresses
Primary practice location
644 Thornton Rd
Lithia Springs, GA 30122
Mailing address
1879 Eveningside Way NW
Kennesaw, GA 30152-4794
Phone (903) 806-6536
Other names 1
- Tonya Dubois
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
120 Greystone Power Blvd
Suite 110
Dallas, GA 30157-8297
Phone (470) 267-1540
2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941
2505 Dallas Hwy SW
Marietta, GA 30064-2659
Phone (678) 956-6230
500 Nathan Dean Blvd
Suite 105
Dallas, GA 30157-4911
Phone (470) 624-6793
5749 Wendy Bagwell Pkwy
Hiram, GA 30141-2815
Phone (470) 523-4130
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.51 of 100
- Quality
- 80.61
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA04195 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstreet of Georgia PC | Current | Accepting new patients | |
| East Texas Medical Center Healthcare Associates | Physician Assistant | Past | Accepting new patients |
| Peachtree Immediate Care UC, LLC | Past | Accepting new patients | |
| Exceed Health Clinic | Past | Accepting new patients |
Locations
2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941
Interoperability endpoints
- https://api.platform.athenahealth.com/6966/brand/1/csg/1/fhir/r4
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Piedmont Urgent Care
- Urgent Care Clinic/Center
- Newnan, GA
- NPI 1235411547
-
dba WellStar Family Medicine ACW
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Family Medicine Physician
- Hiram, GA
- NPI 1437194156
-
- Urgent Care Clinic/Center
- Decatur, GA
- NPI 1235573841
-
dba First Physicians
- Family Medicine Physician
- Tyler, TX
- NPI 1124062484
Physician Assistant
-
- Nurse Practitioner
- Texarkana, TX
- NPI 1780277731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759881600000",
"number": "1083626493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1879 EVENINGSIDE WAY NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524794",
"telephone_number": "903-806-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "644 THORNTON RD",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "30122",
"telephone_number": "678-915-9887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEPPER",
"first_name": "TONYA",
"credential": "P.A.-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-13",
"last_updated": "2025-10-08",
"certification_date": "2025-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA04195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONYA",
"last_name": "DUBOIS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.