Individual provider Active NPI

Tonja Leann Lindle, FNP-C

  • Family Nurse Practitioner
  • Honea Path, SC
National Provider Identifier
1255954848
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26708 Issued in SC
Practice address
512B E Greer St
Honea Path, SC 29654-1823
Phone
(864) 369-5003
Fax
(864) 860-0265
NPI assigned
May 18, 2020
Last updated
Aug 1, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26708 SC Primary

Addresses

Primary practice location

512B E Greer St
Honea Path, SC 29654-1823

Mailing address

512B E Greer St
Honea Path, SC 29654-1823
Phone (864) 369-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20221103001951 SC Practitioner - Nurse Practitioner 1456728435 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26708SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lindle Family Medicine & Wellness Clinic CurrentSince Jan 5, 2026 Accepting new patients

Locations

512B E Greer St
Honea Path, SC 29654
Phone (864) 369-5003

Interoperability endpoints

  • Direct secure messaging: tonja.lindle@936845195739140.direct.elationemr.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1255954848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512B E GREER ST",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296541823",
            "telephone_number": "864-369-5003",
            "fax_number": "864-860-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512B E GREER ST",
            "city": "HONEA PATH",
            "state": "SC",
            "postal_code": "296541823",
            "telephone_number": "864-369-5003",
            "fax_number": "864-860-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDLE",
        "first_name": "TONJA",
        "middle_name": "LEANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "26708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honea Path, SC

Sources for this page

Verify at the official NPI Registry.