Active NPI
Tammie Dumas-Wilkerson
- Home Health Agency
- Loganville, GA
National Provider Identifier
1285522425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- PHCP04279
- Practice address
- 917 Shannon Mist Dr
Loganville, GA 30052-3019 - Phone
- (404) 626-0874
- NPI assigned
- Jun 26, 2025
- Last updated
- Jun 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | PHCP04279 | GA | Primary |
Addresses
Primary practice location
917 Shannon Mist Dr
Loganville, GA 30052-3019
Mailing address
917 Shannon Mist Dr
Loganville, GA 30052-3019
Phone (404) 626-0874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PHCP04279 | GA | MD | Home Health Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loving Hearts for the Disabled LLC | Home Health | Current | Accepting new patients |
| Loving Hearts for the Disabled LLC | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Loganville, GA
- NPI 1164310157
-
- In Home Supportive Care Agency
- Loganville, GA
- NPI 1417845421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1285522425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "917 SHANNON MIST DR",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300523019",
"telephone_number": "404-626-0874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "917 SHANNON MIST DR",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300523019",
"telephone_number": "404-626-0874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUMAS-WILKERSON",
"first_name": "TAMMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "PHCP04279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
- Drayer Physical Therapy Georgia LLC
- Drayer Physical Therapy Institute LLC
- Drayer Physical Therapy Institute of Ky PLLC (Drayer Physical Therapy Institute)
- Dualpath Billing and Credentialing Inc
- Dub Enterprises (Hand and Stone Massage and Facial Spa)
- Stephanie Dunlap
- Mary Julia Dunn
- Megan Gray Dunning
- Ronald Lawrence Duttlinger Jr.
- Stephen Duvall
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.