Active NPI
Tisa Macklin
- Health Information Specialist/Technologist
- Marietta, GA
National Provider Identifier
1184227993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Information Specialist/Technologist
- Practice address
- 2627 Sandy Plains Rd Ste 201
Marietta, GA 30066-4289 - Phone
- (470) 909-1046
- NPI assigned
- Nov 16, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | |||
| Health Information Specialist/Technologist | 246Y00000X | Primary |
Addresses
Primary practice location
2627 Sandy Plains Rd Ste 201
Marietta, GA 30066-4289
Mailing address
2627 Sandy Plains Rd Ste 201
Marietta, GA 30066-4289
Phone (470) 909-1046
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chronicles of Human Services | Current | Accepting new patients | |
| The Avante Group of Atlanta | Specialist/Technologist, Health Information | Current | Accepting new patients |
Locations
2400 Herodian Way SE
Ste 220
Smyrna, GA 30080
Phone (678) 346-0808
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.
-
- Health Information Specialist/Technologist
- Smyrna, GA
- NPI 1972106789
Specialist/Technologist, Health Information
-
- Community/Behavioral Health Agency
- Atlanta, GA
- NPI 1891067492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1184227993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2627 SANDY PLAINS RD STE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664289",
"telephone_number": "470-909-1046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2627 SANDY PLAINS RD STE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300664289",
"telephone_number": "470-909-1046"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKLIN",
"first_name": "TISA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
},
{
"code": "246Y00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Health Information",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.