Individual provider Active NPI

Dionne Tehsheen Bravo, FNP-C

  • Family Nurse Practitioner
  • Union City, GA
National Provider Identifier
1215385992
Registry record updated Oct 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP182045 Issued in GA
Practice address
4910 Jonesboro Rd
BLDG 700, Suite 1
Union City, GA 30291-2085
Phone
(770) 964-7736
Fax
(770) 306-1726
NPI assigned
Jun 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 182045 GA
Family Nurse Practitioner 363LF0000X APRN-NP182045 GA Primary

Addresses

Primary practice location

4910 Jonesboro Rd
BLDG 700, Suite 1
Union City, GA 30291-2085

Mailing address

4910 Jonesboro Rd
BLDG 700, Suite 1
Union City, GA 30291-2085
Phone (770) 964-7736

Other practice location 1

2976 Chapel Hill Rd
Douglasville, GA 30135-1733
Phone (470) 579-6599

Other names 1

  • Miss Dionne Tehsheen Barclay Former name

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
I20161018003034 GA Practitioner - Nurse Practitioner 5991093395 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstreet of Georgia PC 425 clinicians

Practice addresses (Care Compare)

2292 Peachtree Rd
Atlanta, GA 30309-1147
Phone (404) 382-9941

2976 Chapel Hill Rd
Douglasville, GA 30135-1733
Phone (678) 695-6960

Merit-based Incentive Payment System (MIPS)

Final score
94.51 of 100Reported as apm
Quality
80.61
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
182045GAMDFamily Nurse Practitioner
APRN-NP182045GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Peachtree Immediate Care FP, LLC CurrentSince Feb 6, 2023 Accepting new patients
Yvonne L. Smith MD PC CurrentSince Sep 1, 2016 Accepting new patients
Wellstreet of Georgia PC CurrentSince Apr 1, 2025 Accepting new patients
Wellstreet of Georgia PC PastSince Dec 5, 2021 Accepting new patients

Locations

2292 Peachtree Rd NW
Atlanta, GA 30309
Phone (404) 382-9941

2976 Chapel Hill Rd
Douglasville, GA 30135
Phone (470) 579-6599

590 Lanier Ave W
Fayetteville, GA 30214

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

3827 Jimmy Lee Smith Pkwy
Hiram, GA 30141
Phone (770) 222-8900

4910 Jonesboro Rd
Bldg 700
Union City, GA 30291
Phone (770) 964-7736

209 Cooley Dr
Ste 101
Villa Rica, GA 30180
Phone (770) 456-0911

Organizations & group practices 4

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761696000000",
    "number": "1215385992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 JONESBORO RD",
            "address_2": "BLDG 700, SUITE 1",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912085",
            "telephone_number": "770-964-7736",
            "fax_number": "770-306-1726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 JONESBORO RD",
            "address_2": "BLDG 700, SUITE 1",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912085",
            "telephone_number": "770-964-7736",
            "fax_number": "770-306-1726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2976 Chapel Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301351733",
            "country_code": "US",
            "telephone_number": "470-579-6599",
            "fax_number": "912-243-9650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAVO",
        "first_name": "DIONNE",
        "middle_name": "TEHSHEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-02",
        "last_updated": "2025-10-29",
        "certification_date": "2025-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "182045",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP182045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIONNE",
            "last_name": "BARCLAY",
            "middle_name": "TEHSHEEN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Union City, GA

Sources for this page

Verify at the official NPI Registry.