Individual provider Active NPI

Tammala Rena Barrett, D.C.

  • Chiropractor
  • Fayetteville, GA
National Provider Identifier
1285727677
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIRO008280 Issued in GA
Practice address
560 N Jeff Davis Dr
Fayetteville, GA 30214-1665
Phone
(770) 719-8785
Fax
(770) 719-8715
NPI assigned
Sep 30, 2006
Last updated
Jan 6, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIRO008280 GA Primary
Chiropractor 111N00000X 3625 OK

Addresses

Primary practice location

560 N Jeff Davis Dr
Fayetteville, GA 30214-1665

Mailing address

2468 Antwerp Dr SE
Atlanta, GA 30315-6522
Phone (678) 478-5492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000359 GA Practitioner - Chiropractic 2961424551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Health Concepts IGroup PAC ID 4082749676, 2 clinicians

Practice addresses (Care Compare)

560 E Lanier Ave
Fayetteville, GA 30214-2241
Phone (770) 719-8785

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3625OKMDClinical Social Worker
CHIRO008280GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Health Concepts I Chiropractor CurrentSince Jan 12, 2010 Accepting new patients
Fayette Chiropractic Center, Inc Chiropractor Past Accepting new patients
Fayette Chiropractic Center, Inc Chiropractor PastSince Feb 25, 2024 Accepting new patients
Health Concepts I, LLC Chiropractor PastSince Jan 12, 2010 Accepting new patients
Advanced Spinal Care & Alternative Healing Arts, PC Chiropractor Past Accepting new patients
Health Concepts Chiropractor Past Accepting new patients

Locations

560 Lanier Ave E
Fayetteville, GA 30214
Phone (770) 719-8785

560 N Jeff Davis Dr
Fayetteville, GA 30214
Phone (770) 719-8785

Organizations & group practices 6

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1285727677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2468 ANTWERP DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303156522",
            "telephone_number": "678-478-5492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 N JEFF DAVIS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141665",
            "telephone_number": "770-719-8785",
            "fax_number": "770-719-8715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRETT",
        "first_name": "TAMMALA",
        "middle_name": "RENA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIRO008280",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.