Individual provider Active NPI

Tameika Yvette Monday, FNP

  • Family Nurse Practitioner
  • Eatonton, GA
National Provider Identifier
1184050486
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN216682 Issued in GA
Practice address
118 W Marion St
Eatonton, GA 31024-1010
Phone
(706) 473-0005
NPI assigned
Sep 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN216682 GA
Family Nurse Practitioner 363LF0000X RN216682 GA Primary

Addresses

Primary practice location

118 W Marion St
Eatonton, GA 31024-1010

Mailing address

118 W Marion St
Eatonton, GA 31024-1010
Phone (706) 473-0005

Other practice location 1

4600 Fulton Mill Rd
Macon, GA 31208-2500
Phone (478) 471-2971

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.

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

State licenses

LicenseStateTypeSpecialty
RN216682GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Worker'S Wellness Clinic Family Medicine CurrentSince Nov 24, 2024 Accepting new patients
To the Rescue Staffing LLC CurrentSince Jan 26, 2022 Accepting new patients

Locations

118 W Marion St
Eatonton, GA 31024
Phone (706) 473-0005

NPI Registry JSON

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1184050486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 W MARION ST",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241010",
            "telephone_number": "706-473-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 W MARION ST",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310241010",
            "telephone_number": "706-473-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 Fulton Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312082500",
            "country_code": "US",
            "telephone_number": "478-471-2971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDAY",
        "first_name": "TAMEIKA",
        "middle_name": "YVETTE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN216682",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.