Awaken,Inspire,Restore LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

AWAKEN,INSPIRE,RESTORE LLC

Practice address

1111 Highway 34 E
Newnan, GA 30265-2182

Phone

(770) 809-1100

NPI assigned

May 9, 2025

Last updated

May 29, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tashinea Bernadin, DONPI 1922454701

Title

Owner

Phone

(904) 803-2445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tashinea Bernadin, DO

  • Family Medicine Physician
  • Newnan, GA
  • NPI 1922454701
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1235929613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ASTRAL CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142595",
            "telephone_number": "904-803-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HIGHWAY 34 E",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652182",
            "telephone_number": "770-809-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAKEN,INSPIRE,RESTORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "BERNADIN",
        "authorized_official_first_name": "TASHINEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-803-2445",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avalon Health Care LLC (Avalon Health and Rehabilitation)
• Conelia Stacie Avery, CRNA
• Shanetia Sontavia Avinger, NP
• Jaiwantkumar M Avula, MD
• Rohit Kumar Avula, CRNA
• Mark E Axness, MD
• Jared Babb
• Baby Dimensions
• Eliza Johnson Bacot, NP
• Idrissatu Bah, NP

• Family Medicine Physician in Newnan, GA
• Providers in Newnan, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.