Individual provider Active NPI

Tammy Rivers, FNP-C

  • Family Nurse Practitioner
  • Snellville, GA
National Provider Identifier
1417379652
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN185080 Issued in GA
Practice address
1608 Tree LN BLDG C
Snellville, GA 30078-2399
Phone
(678) 344-4472
NPI assigned
Jan 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 RN185080 GA Primary

Addresses

Primary practice location

1608 Tree LN BLDG C
Snellville, GA 30078-2399

Mailing address

1608 Tree LN BLDG C
Snellville, GA 30078-2399
Phone (678) 344-4472

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
I20170705001134 GA Practitioner - Nurse Practitioner 9739458894 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Medlife Urgent Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Medlife Healthcare LLC CurrentSince Sep 2, 2021 Accepting new patients
Auria Medical Clinics , LLC CurrentSince Mar 1, 2021 Accepting new patients

Locations

2129 Friendship Rd
Ste 200
Buford, GA 30519
Phone (770) 209-2787

2129 Friendship Rd
Ste 100
Buford, GA 30519
Phone (770) 209-2787

345 Huntington Place Ct
Ste 200B
McDonough, GA 30253
Phone (678) 993-0820

5825 Buford Hwy
Ste 300
Norcross, GA 30071
Phone (678) 782-6920

1800 Tree Ln
Ste 320
Snellville, GA 30078
Phone (770) 549-8971

1325 Satellite Blvd NW
Ste 301
Suwanee, GA 30024
Phone (770) 284-3043

Interoperability endpoints

  • Direct secure messaging: tammy.rivers@936603409711108.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/DEHDCD

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.

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417379652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 TREE LN BLDG C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782399",
            "telephone_number": "678-344-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 TREE LN BLDG C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782399",
            "telephone_number": "678-344-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "TAMMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN185080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.