Individual provider Active NPI

Tamiko Molet-Caldwell, DNP, FNP-C

  • Family Nurse Practitioner
  • Macon, GA
National Provider Identifier
1336386986
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN200088NP Issued in GA
Practice address
4693 Log Cabin Dr
Macon, GA 31204-6317
Phone
(478) 227-4113
NPI assigned
Jan 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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 RN200088NP GA Primary

Addresses

Primary practice location

4693 Log Cabin Dr
Macon, GA 31204-6317

Mailing address

4693 Log Cabin Dr
Macon, GA 31204-6317
Phone (478) 444-3737

Other names 1

  • Dr. Tamiko Molet Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120911000032 GA Practitioner - Nurse Practitioner 8527216977 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN200088NPGAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mole'T Health and Wellness, PC CurrentSince Oct 1, 2022 Accepting new patients
Qcpi-Villagemd, PC Past Accepting new patients

Locations

4693 Log Cabin Dr
Macon, GA 31204
Phone (478) 227-4113

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABHAED/Endpoint/ABHAED
  • Direct secure messaging: tamiko.molet@chcict.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/IIAHCD/Endpoint/IIAHCD
  • Direct secure messaging: drtamiko@molethealth.kareodirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1232236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717545600000",
    "number": "1336386986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4693 LOG CABIN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312046317",
            "telephone_number": "478-444-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4693 LOG CABIN DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312046317",
            "telephone_number": "478-227-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLET-CALDWELL",
        "first_name": "TAMIKO",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-18",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN200088NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMIKO",
            "last_name": "MOLET",
            "prefix": "DR.",
            "credential": "DNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.