Lina Tibavinsky Bernal, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

96348 Issued in GA

Practice address

4360 Chamblee Dunwoody Rd Ste 370
Atlanta, GA 30341-1081

Phone

(770) 393-1988

NPI assigned

Mar 21, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lina.tibavinsky.bernal.1@5518.direct.athenahealth.com

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.

• Unified Women'S Care of Georgia, LLC

  • Obstetrics & Gynecology Physician
  • Morrisville, NC
  • NPI 1578812012
  NPD (past)
• Womencare PA

  • Specialist
  • Orlando, FL
  • NPI 1366529042
  NPD (past)

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1376003731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 CHAMBLEE DUNWOODY RD STE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 CHAMBLEE DUNWOODY RD STE 370",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411081",
            "telephone_number": "770-393-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIBAVINSKY BERNAL",
        "first_name": "LINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-21",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "GA",
            "license": "96348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Soumyaa Thushyanthan, PA-C
• Julie Irene Thwing, MD
• Anna Griest Thyberg
• David S Thylur, M.D.
• Sibo Tian, M.D.
• Christina Tice, CNM
• Tillary Tice, LCSW
• Kelly Tickle, PCNS-BC, PPCNP-BC
• Elizabeth E Tidey
• Ansley Tidwell, PHARMD

• Obstetrics & Gynecology Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Obstetrics & Gynecology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.