Individual provider Active NPI

Sitiwe Tembo Eaves

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1093254997
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341376 Issued in GA
Practice address
1372 Peachtree St NE Ste 100
Atlanta, GA 30309-3248
Phone
(470) 964-1700
Fax
(678) 288-5639
NPI assigned
Feb 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341376 GA Primary

Addresses

Primary practice location

1372 Peachtree St NE Ste 100
Atlanta, GA 30309-3248

Mailing address

PO Box 746087
Atlanta, GA 30374-6087
Phone (312) 733-9730

Other practice location 1

455 Sutter Ave
Brooklyn, NY 11212-8111
Phone (718) 765-6550

Other practice location 2

6115 Metropolitan Ave
Ridgewood, NY 11385-2644
Phone (714) 979-1928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NY, PA, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20190509000108 AZ Practitioner - Nurse Practitioner 1557603727 Reassigns benefits to 1 organization
I20211027000976 NY Practitioner - Nurse Practitioner 1557603727 Reassigns benefits to 3 organizations
I20250613000120 PA Practitioner - Nurse Practitioner 1557603727 Reassigns benefits to 1 organization
I20251119003687 GA Practitioner - Nurse Practitioner 1557603727 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

3621 Aramingo Ave
Philadelphia, PA 19134-4607
Phone (312) 600-8484

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
341376GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Griffin Myers Medical, P.C. Nurse Practitioner CurrentSince Dec 15, 2024 Accepting new patients
Vpa PC CurrentSince Oct 5, 2025 Accepting new patients
Upward Health of Arizona LLC CurrentSince Sep 7, 2024 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Sep 23, 2021 Accepting new patients
Vpa PC CurrentSince Oct 5, 2025 Accepting new patients
Osh - PA Physicians Group, PC Nurse Practitioner CurrentSince May 26, 2025 Accepting new patients
Dennis Mihale MD of Ny PC CurrentSince Dec 11, 2023 Accepting new patients

Locations

2760 W Peoria Ave
Phoenix, AZ 85029
Phone (309) 229-0799

1372 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (470) 964-1700

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

455 Sutter Ave
Brooklyn, NY 11212
Phone (718) 765-6550

80 Arkay Dr
Ste 230
Hauppauge, NY 11788
Phone (631) 540-8225

11515 Sutphin Blvd
Jamaica, NY 11434
Phone (718) 659-4000

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

6115 Metropolitan Ave
Ridgewood, NY 11385
Phone (718) 312-6959

3621 Aramingo Ave
Philadelphia, PA 19134
Phone (312) 600-8484

Interoperability endpoints

  • Direct secure messaging: ms_seaves1@landmarkhealth-direct.org
  • Direct secure messaging: sitiwe.eaves@oakstreethealth.gwaydirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1486944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1093254997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746087",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746087",
            "telephone_number": "312-733-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 PEACHTREE ST NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093248",
            "telephone_number": "470-964-1700",
            "fax_number": "678-288-5639"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "455 Sutter Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112128111",
            "country_code": "US",
            "telephone_number": "718-765-6550",
            "fax_number": "347-620-9739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6115 Metropolitan Ave",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NY",
            "postal_code": "113852644",
            "country_code": "US",
            "telephone_number": "714-979-1928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EAVES",
        "first_name": "SITIWE",
        "middle_name": "TEMBO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-13",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "341376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.