Individual provider Active NPI

Tawa Kalytou Sitou, FNP

  • Family Nurse Practitioner
  • Stockbridge, GA
National Provider Identifier
1356979363
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN220265 Issued in GA
Practice address
831 Fairways CT
Stockbridge, GA 30281-7278
Phone
(770) 328-1925
NPI assigned
Mar 27, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X RN220265 GA Primary

Addresses

Primary practice location

831 Fairways CT
Stockbridge, GA 30281-7278

Mailing address

831 Fairways CT Ste a
Stockbridge, GA 30281-7278
Phone (770) 389-1925

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
I20210419001429 GA Practitioner - Nurse Practitioner 7911315619 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Psychotherapy, LLC Single Specialty CurrentSince May 3, 2020 Accepting new patients
Signify Health Medical Associates, PLLC Single Specialty CurrentSince Jul 30, 2023 Accepting new patients
Shittu Family Practice,LLC Single Specialty CurrentSince Mar 16, 2021 Accepting new patients

Locations

213 Banks Sta
Fayetteville, GA 30214
Phone (347) 784-5788

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

831 Fairways Ct
Ste A
Stockbridge, GA 30281
Phone (770) 389-1925

831 Fairways Ct
Stockbridge, GA 30281
Phone (678) 612-2158

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 3

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": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1356979363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 FAIRWAYS CT STE A",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817278",
            "telephone_number": "770-389-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 FAIRWAYS CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817278",
            "telephone_number": "770-328-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SITOU",
        "first_name": "TAWA",
        "middle_name": "KALYTOU",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN220265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.