Active NPI
Orteasa Maria Tafie, CNA
- Nurse's Aide
- Austell, GA
National Provider Identifier
1366732802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse's Aide
- License
- CN0028902879
- Practice address
- 1325 Six Flags Dr
#1207
Austell, GA 30168-7065 - Phone
- (404) 274-4498
- Fax
- (678) 324-6791
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | CN0028902879 | GA | Primary |
Addresses
Primary practice location
1325 Six Flags Dr
#1207
Austell, GA 30168-7065
Mailing address
1325 Six Flags Dr
#1207
Austell, GA 30168-7065
Phone (404) 274-4498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CN0028902879 | GA | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G.R. Jackson Senior Care | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Austell, GA
- NPI 1467742858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1366732802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1325 SIX FLAGS DR",
"address_2": "#1207",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301687065",
"telephone_number": "404-274-4498",
"fax_number": "678-324-6791"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 SIX FLAGS DR",
"address_2": "#1207",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301687065",
"telephone_number": "404-274-4498",
"fax_number": "678-324-6791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAFIE",
"first_name": "ORTEASA",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "CNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "GA",
"license": "CN0028902879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.