Individual provider Active NPI

Tiaya Welsh, FNP-BC, MSN, APRN

  • Family Nurse Practitioner
  • Monroe, GA
National Provider Identifier
1366978314
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN210266 Issued in GA
Practice address
705 Breedlove Dr Ste 200
Monroe, GA 30655-2080
Phone
(706) 554-5009
Fax
(706) 546-8792
NPI assigned
May 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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 RN210266 GA Primary

Addresses

Primary practice location

705 Breedlove Dr Ste 200
Monroe, GA 30655-2080

Mailing address

1765 Old West Broad St BLDG 2-200
Athens, GA 30606-2887
Phone (706) 549-1663

Other practice location 1

1680A Eatonton Rd
Madison, GA 30650-4628
Phone (706) 549-1663

Other practice location 2

1765 Old West Broad St
Athens, GA 30606-2853
Phone (706) 549-1663

Other practice location 3

3440 Highway 81
Loganville, GA 30052-9112
Phone (770) 554-5009

Other identifiers 1

IdentifierTypeStateIssuer
14009593OtherCAQH NUMBER

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
I20170711001336 GA Practitioner - Nurse Practitioner 1052680840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Comfort Pain and WellnessGroup PAC ID 1658753785, 2 clinicians
Esop Rehabilitation LLCGroup PAC ID 9739305749, shared by 9 NPIs, 224 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, shared by 50 NPIs, 1,432 clinicians

Practice addresses (Care Compare)

151 Lee Byrd Rd
Loganville, GA 30052-2310
Phone (678) 587-5993

875 Flat Shoals Rd SE
Suite 150
Conyers, GA 30094-6640
Phone (770) 785-7669

9152 Hwy 278 NE
Covington, GA 30014-7010
Phone (678) 342-9339

966 A Killian Hill Rd SW
Lilburn, GA 30047-3102
Phone (770) 923-4815

Hospital & facility affiliations

  • Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
RN210266GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Comfort Pain & Wellness CurrentSince Mar 23, 2026 Accepting new patients
Athens Orthopedic Clinic, PA CurrentSince Jun 19, 2017 Accepting new patients
Athens Orthopedic Clinic, PA CurrentSince Jun 19, 2017 Accepting new patients
Pediatric Orthopedic Associates Past Accepting new patients

Locations

1765 Old West Broad St
Bldg 2-200
Athens, GA 30606
Phone (706) 433-4088

1765 Old West Broad St
Athens, GA 30606
Phone (706) 548-6881

1765 Old West Broad St
Bldg 2
Athens, GA 30606
Phone (706) 548-2060

1765 Old West Broad St
Ste 200
Athens, GA 30606
Phone (706) 433-4088

151 Lee Byrd Rd
Loganville, GA 30052
Phone (678) 587-5993

3440 Highway 81
Loganville, GA 30052
Phone (770) 554-5009

1680A Eatonton Rd
Madison, GA 30650
Phone (404) 282-5600

705 Breedlove Dr
Ste 200
Monroe, GA 30655
Phone (770) 207-5738

2151 W Spring St
Ste B140
Monroe, GA 30655
Phone (678) 214-6118

1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229

Interoperability endpoints

  • Direct secure messaging: tiaya.welsh.1@28045.direct.athenahealth.com
  • Direct secure messaging: twelsh@aoc1036.srs-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1366978314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 OLD WEST BROAD ST BLDG 2-200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062887",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BREEDLOVE DR STE 200",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552080",
            "telephone_number": "706-554-5009",
            "fax_number": "706-546-8792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1680A Eatonton Rd",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "GA",
            "postal_code": "306504628",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1765 Old West Broad St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062853",
            "country_code": "US",
            "telephone_number": "706-549-1663",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3440 Highway 81",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300529112",
            "country_code": "US",
            "telephone_number": "770-554-5009",
            "fax_number": "706-546-8792",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WELSH",
        "first_name": "TIAYA",
        "name_prefix": "Ms.",
        "credential": "FNP-BC, MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN210266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "14009593",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.