Tina M. Mason, M.D., L.L.C.

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

039405 Issued in GA

Legal business name

TINA M. MASON, M.D., L.L.C.

Practice address

935 River Centre PL
Suite 200
Lawrenceville, GA 30043-7322

Phone

(678) 985-5800

NPI assigned

Jan 8, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Margarette Ann Cox

Title

Medical Practice Manager

Phone

(678) 985-5800

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1215112321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "935 RIVER CENTRE PL",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437322",
            "telephone_number": "678-985-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 RIVER CENTRE PL",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437322",
            "telephone_number": "678-985-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA M. MASON, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-08",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "MARGARETTE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MEDICAL PRACTICE MANAGER",
        "authorized_official_telephone_number": "678-985-5800",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "039405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Vivien Tillman, RN,MSN
• Michael Walter Tim, M.D.
• Demond Timberlake Jr., NBCHWC
• Callie Timmerman, RBT
• Timothy Carlton Medical Supply
• Bianca Tinord
• Detisha Bunnicole Tinsley
• Deepthi Tirunagari, MD
• Ephesian Tisdale, RBT
• Olivia Tishman, OTD, OTR/L

• Legal Medicine in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.