Madeleine Nicole Tjoelker, MS, CGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

491 Issued in GA

Practice address

1411 Laney Walker Blvd
Augusta, GA 30912-0002

Phone

(067) 211-6767

Fax

(706) 721-0360

NPI assigned

Oct 1, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1154093797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NOBLE LOOP APT 1203",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090194",
            "telephone_number": "614-365-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 LANEY WALKER BLVD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120002",
            "telephone_number": "067-211-6767",
            "fax_number": "706-721-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TJOELKER",
        "first_name": "MADELEINE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MS, CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "GA",
            "license": "491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mtjoelker@augusta.edu",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1411 Laney Walker Blvd",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "309120002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Pamela Sue Tipler, D.O.
• Tippett Eyecare, PC
• Timothy K Tippett, OD
• Hamer Manning Titus, MD
• Kirsten Titus, PA
• Phuong N To, D.O.
• Anna Tobin
• Trevor Wesley Tobin, DO, MS
• Amanda W Todd, PHARM.D.
• Megan Ann Todd, DMD

• Genetic Counselor (M.S.) in Augusta, GA
• Providers in Augusta, GA by specialty
• Genetic Counselor (M.S.) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.