George Achambeng Tazi, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN.CNP.16825 Issued in OH

Practice address

6480 Rockside Woods Blvd S Ste 330
Independence, OH 44131-2222

Phone

(855) 490-9434

Fax

(614) 645-6091

NPI assigned

Nov 21, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Havens Recovery Center, LLC

  • General Practice Physician
  • Grove City, OH
  • NPI 1912448747
  NPD (past)

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1245637156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 PARSONS AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155331",
            "telephone_number": "614-645-6792",
            "fax_number": "614-645-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 ROCKSIDE WOODS BLVD S STE 330",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441312222",
            "telephone_number": "855-490-9434",
            "fax_number": "614-645-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAZI",
        "first_name": "GEORGE",
        "middle_name": "ACHAMBENG",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-11-21",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "OH",
            "license": "COA16825NP",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.16825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Tarro
• Brittany Tate, RN
• Kathleen Tavernelli, CNP,CWOCN
• Lauren Taylor
• Taylormade Trucking Company & Couriers Inc
• Helene Cynthia Terezis, PHD
• The Attention Center
• The Attention Center
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation

• Nurse Practitioner in Independence, OH
• Providers in Independence, OH by specialty
• Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.