Tina Marie Mason, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

039405 Issued in GA

Practice address

6300 Hospital Pkwy
Suite 200
Johns Creek, GA 30097-1828

Phone

(678) 985-5800

Fax

(678) 376-5848

NPI assigned

Mar 30, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343260800000",
    "number": "1255392148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY",
            "address_2": "SUITE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971828",
            "telephone_number": "678-985-5800",
            "fax_number": "678-376-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 HOSPITAL PKWY",
            "address_2": "SUITE 200",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971828",
            "telephone_number": "678-985-5800",
            "fax_number": "678-376-5848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "GA",
            "license": "039405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tishun Martin, LMT
• Aristnery Martinez
• Brenny E Martinez
• Sara Elizabeth Martinez
• Saori Maruyama, PH.D.
• Nympha J. Mathurin Meadows, M.ED, BCBA
• Alexis Sierra Mattheus
• Thomas C Matthews, MD
• Max Family Vision, LLC
• Megan May

• Gynecology Physician in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.