Nathan Carman Tirabassi, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD305009 Issued in GA

Practice address

3200 Highlands Pkwy SE Ste 100
Smyrna, GA 30082-5192

Phone

(770) 319-5502

Fax

(404) 481-4452

NPI assigned

Aug 26, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in GA, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Kent State University College of Podiatric Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PNC Podiatry of Washington PLLCGroup PAC ID 3971950312, 13 clinicians

Village Podiatry Group LLCGroup PAC ID 4587646971, 51 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Regional Medical Center Everett Hospital, Everett, WA, CCN 500014
• Swedish Edmonds Hospital Hospital, Edmonds, WA, CCN 500026

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ntirabassi128749@direct.valleymed.org
• Direct secure messaging: nathan.tirabassi.1@28424.direct.athenahealth.com

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.

• Village Podiatry Group, L.L.C.

  • Podiatrist
  • Roswell, GA
  • NPI 1508846718
  Medicare reassignment Care Compare group NPD
• PNC Podiatry of Washington PLLC

  • Foot & Ankle Surgery Podiatrist
  • Kirkland, WA
  • NPI 1154106516
  Medicare reassignment Care Compare group NPD
• Village Podiatry Group II, LLC.

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
  • NPI 1427540699
  Medicare reassignment NPD
• Village Podiatry Group II, LLC.

  • Podiatrist
  • Royston, GA
  • NPI 1659918969
  NPD
• Village Podiatry Group LLC

  • Foot & Ankle Surgery Podiatrist
  • Covington, GA
  • NPI 1942036314
  NPD
• PNC Podiatry of Washington PLLC

  • Foot & Ankle Surgery Podiatrist
  • Seattle, WA
  • NPI 1659249126
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services-Wa

  • Hospitalist Physician
  • Everett, WA
  • NPI 1649615220
  Care Compare affiliation
• Providence Health & Services-Wa

  • General Acute Care Hospital
  • Everett, WA
  • NPI 1700037801
  Care Compare affiliation
• Swedish Edmonds

  • General Acute Care Hospital
  • Edmonds, WA
  • NPI 1033107214
  Care Compare affiliation
• Swedish Edmonds

  • Clinical Medical Laboratory
  • Edmonds, WA
  • NPI 1699894022

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1225438328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 HIGHLANDS PKWY SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825192",
            "telephone_number": "770-319-5502",
            "fax_number": "404-481-4452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 HIGHLANDS PKWY SE STE 100",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825192",
            "telephone_number": "770-319-5502",
            "fax_number": "404-481-4452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1425 Portland Ave",
            "address_2": "355",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14621",
            "country_code": "US",
            "telephone_number": "585-922-4731",
            "fax_number": "585-922-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIRABASSI",
        "first_name": "NATHAN",
        "middle_name": "CARMAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-26",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD305009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Frank Thorneloe, MD
• Marissa Thornton, OD
• Thrive Private Home Care LLC
• Thumbs Up Med-Safe Supply and Delivery, LLC
• Katherine Cynthia Thyne, LCSW
• Jennifer Elizabeth Titelman, M.ED., CCC-SLP
• Jarrett Prescott Titus
• TLC of Georgia LLC
• Valerie Hope Todd, ATC
• Brandon Tolliver

• Podiatrist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.