Marshet Tenaw

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN216626 Issued in GA

Practice address

4958 Memorial Dr
Stone Mountain, GA 30083-4148

Phone

(404) 809-2480

NPI assigned

Jan 30, 2023

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

• Lilly Tenaw Other 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JEIJDD/Endpoint/JEIJDD

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.

• Georgia Nephrology, LLC

  • Nephrology Physician
  • Decatur, GA
  • NPI 1063422723
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  GA

  Medicare reassignment NPD
• Mela Urgent and Primary Care Clinic LLC

  • Family Nurse Practitioner
  • Clarkston, GA
  • NPI 1598559726
  NPD Authorized official
• Hope Dispensary

  • Non-Pharmacy Dispensing Site
  • Stone Mountain, GA
  • NPI 1831577329
  NPD (past)
• Memorial Drive Family Medicine P.C

  • Family Medicine Physician
  • Stone Mountain, GA
  • NPI 1285994251
  NPD (past)

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1366158669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 VILLA PLACE CT",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300841972",
            "telephone_number": "770-685-8821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 MEMORIAL DR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834148",
            "telephone_number": "404-809-2480"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5395 Jimmy Carter Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300931564",
            "country_code": "US",
            "telephone_number": "770-685-8821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TENAW",
        "first_name": "MARSHET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "RN216626",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILLY",
            "last_name": "TENAW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kendra Michelle Taylor, LPN
• Rose M Taylor, MD
• Shantiya Latoya Nachell Teel, NURSE PRACTITONER
• Brenda Dawne Telford, D.O.
• Ten 2 Speech & Language Therapy, LLC
• Tender Care Services, LLC
• Tender Touch Health Care Services
• Stanley M Tenenbaum, MD
• Tassew Tesfaye, M.D.
• The Art of Living Cla LLC.

• Family Nurse Practitioner in Stone Mountain, GA
• Providers in Stone Mountain, 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 Apr 4, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.