Active NPI
Tessa Camille Tickerhoof, PHARMD
- Pharmacist
- Athens, GA
National Provider Identifier
1124029186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 022558
- Practice address
- 191 Alps Rd
Athens, GA 30606-4093 - Phone
- (706) 543-3553
- Fax
- (706) 543-0484
- NPI assigned
- Aug 2, 2005
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 022558 | GA | Primary |
Addresses
Primary practice location
191 Alps Rd
Athens, GA 30606-4093
Mailing address
PO Box 5414
Athens, GA 30604-5414
Phone (706) 714-1660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022558 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Kroger Co | Past | Accepting new patients | |
| Kroger Co | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Bethlehem, GA
- NPI 1154294205
-
- Community/Retail Pharmacy
- Athens, GA
- NPI 1285659060
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1124029186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5414",
"city": "ATHENS",
"state": "GA",
"postal_code": "306045414",
"telephone_number": "706-714-1660",
"fax_number": "706-543-0484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "191 ALPS RD",
"city": "ATHENS",
"state": "GA",
"postal_code": "306064093",
"telephone_number": "706-543-3553",
"fax_number": "706-543-0484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TICKERHOOF",
"first_name": "TESSA",
"middle_name": "CAMILLE",
"name_prefix": "Ms.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "022558",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Athens, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.