Individual provider Active NPI

Jodi Tallman, NP

  • Family Nurse Practitioner
  • Williamson, GA
National Provider Identifier
1194188516
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN170855 Issued in GA
Practice address
6758 Highway 362 W Ste a
Williamson, GA 30292-3397
Phone
(470) 980-7520
Fax
(866) 596-4671
NPI assigned
Apr 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X RN170855 GA
Family Nurse Practitioner 363LF0000X RN170855 GA Primary

Addresses

Primary practice location

6758 Highway 362 W Ste a
Williamson, GA 30292-3397

Mailing address

6758 Highway 362 W Ste a
Williamson, GA 30292-3397
Phone (470) 980-7520

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
I20160623000883 GA Practitioner - Nurse Practitioner 0941591895 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6758 Hwy 362 W
Suite a
Williamson, GA 30292-3397
Phone (470) 980-7520

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthier You Primary Care Family CurrentSince Nov 13, 2023 Accepting new patients
Piedmont Medical Care Corporation PastSince Apr 13, 2021 Accepting new patients

Locations

623 Thomaston St
Zebulon, GA 30295

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.

NPI Registry JSON

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

{
    "created_epoch": "1459555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1194188516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6758 HIGHWAY 362 W STE A",
            "city": "WILLIAMSON",
            "state": "GA",
            "postal_code": "302923397",
            "telephone_number": "470-980-7520",
            "fax_number": "866-596-4671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6758 HIGHWAY 362 W STE A",
            "city": "WILLIAMSON",
            "state": "GA",
            "postal_code": "302923397",
            "telephone_number": "470-980-7520",
            "fax_number": "866-596-4671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLMAN",
        "first_name": "JODI",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-02",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN170855",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN170855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamson, GA

Sources for this page

Verify at the official NPI Registry.