Active NPI
Tangella E Russell, CNP
- Family Nurse Practitioner
- Fayetteville, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN 116405
- Practice address
- 1267 Highway 54 W
Suite 2200
Fayetteville, GA 30214-2114 - Phone
- (770) 716-0051
- Fax
- (770) 716-0087
- NPI assigned
- Sep 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN 116405 | GA | Primary |
Addresses
Primary practice location
1267 Highway 54 W
Suite 2200
Fayetteville, GA 30214-2114
Mailing address
20 Francis Way
Suite 101
Sharpsburg, GA 30277
Phone (770) 253-0611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 087974374G | Medicaid | GA |
Other names 1
- Tangella E Sneed
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
20 Francis Way
Sharpsburg, GA 30277-3589
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN 116405 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Cardiology of Atlanta, LLC | Current | Accepting new patients |
Locations
275 Collier Rd NW
Ste 500
Atlanta, GA 30309
Phone (404) 355-6562
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000
1267 Highway 54 W
Ste 2200
Fayetteville, GA 30214
Phone (470) 271-3415
20 Francis Way
Ste 101
Sharpsburg, GA 30277
Phone (404) 352-1611
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 and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1275637639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 FRANCIS WAY",
"address_2": "SUITE 101",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "30277",
"telephone_number": "770-253-0611",
"fax_number": "770-502-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1267 HIGHWAY 54 W",
"address_2": "SUITE 2200",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302142114",
"telephone_number": "770-716-0051",
"fax_number": "770-716-0087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "TANGELLA",
"middle_name": "E",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN 116405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "087974374G",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TANGELLA",
"last_name": "SNEED",
"middle_name": "E",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; 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.