Tatiyana Luke, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

GAA-NP000384 Issued in GA

Practice address

586 Brannen St
Statesboro, GA 30458-5557

Phone

(912) 871-6611

NPI assigned

Aug 25, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tatiyana Jennings Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Peachtree Immediate Care FP, LLC

  • Family Medicine Physician
  • Hiram, GA
  • NPI 1437194156
  Medicare reassignment NPD
• Procare Wellness Network Inc

  dba ProCare Wellness Institute of Savannah

  • Durable Medical Equipment & Medical Supplies
  • Savannah, GA
  • NPI 1861129587
  Medicare reassignment NPD

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1366119653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY STE 236",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 BRANNEN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304585557",
            "telephone_number": "912-871-6611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Grand Central Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Pooler",
            "state": "GA",
            "postal_code": "313224148",
            "country_code": "US",
            "telephone_number": "912-748-1515",
            "fax_number": "912-748-7707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14089 Abercorn St",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314191966",
            "country_code": "US",
            "telephone_number": "912-777-6161",
            "fax_number": "912-436-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUKE",
        "first_name": "TATIYANA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2022-02-11",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3016575",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP000384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATIYANA",
            "last_name": "JENNINGS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Louden Fairfax Care LLC
• Banee Joyce Louis
• LTC at Forest Heights Pharmacy
• LTC Healthcare of Statesboro Inc (WestWood Nursing Center)
• Katrina Katrice Luke, ED.D, CPCS, LPC, NCC
• Amy Luna, PH.D.
• Sarah Bell Lusted, NP
• Tammy Lynn, M.ED., CCC-SLP
• Kexin Ma
• Rebekah Catherine Macker, RD, LD

• Family Nurse Practitioner in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; 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.

Verify at the official NPI Registry.