Individual provider Active NPI

Tammy Danielle Farmer, FNP-BC

  • Family Nurse Practitioner
  • Demorest, GA
National Provider Identifier
1104024025
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN140478 Issued in GA
Practice address
801 Austin Dr
Demorest, GA 30535-4513
Phone
(706) 754-3287
Fax
(705) 754-3518
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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 RN140478 GA Primary

Addresses

Primary practice location

801 Austin Dr
Demorest, GA 30535-4513

Mailing address

PO Box 657
Demorest, GA 30535-0657
Phone (706) 754-3287

Other identifiers 1

IdentifierTypeStateIssuer
003106806BMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110224000256 GA Practitioner - Nurse Practitioner 7416138433 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN140478GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Hospital Authority of Habersham County Current Accepting new patients
The Hospital Authority of Habersham County CurrentSince Jul 23, 2012 Accepting new patients
Community Care Health Network LLC CurrentSince Dec 1, 2025 Accepting new patients
The Hospital Authority of Habersham County CurrentSince Jul 23, 2012 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

801 Austin Dr
Demorest, GA 30535
Phone (706) 754-8066

541 441 Historic Hwy N
Demorest, GA 30535
Phone (706) 839-4000

Interoperability endpoints

  • Direct secure messaging: tammy.farmer@hcmcmed.gadirect.net

Organizations & group practices 4

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1104024025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 657",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305350657",
            "telephone_number": "706-754-3287",
            "fax_number": "706-754-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 AUSTIN DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354513",
            "telephone_number": "706-754-3287",
            "fax_number": "705-754-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMER",
        "first_name": "TAMMY",
        "middle_name": "DANIELLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN140478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003106806B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Demorest, GA

Sources for this page

Verify at the official NPI Registry.