Tierra Deshaye Spratlin

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

049783280 Issued in GA

Practice address

1507 Pine Dr Apt J15
Atlanta, GA 30349-6936

Phone

(470) 812-1105

NPI assigned

Jun 2, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1417696972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 PINE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303496169",
            "telephone_number": "470-812-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 PINE DR APT J15",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303496936",
            "telephone_number": "470-812-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRATLIN",
        "first_name": "TIERRA",
        "middle_name": "DESHAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "049783280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Email",
            "affiliation": "N",
            "endpointDescription": "Email or phone",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1507 Pine Dr",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303496169",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexander Hartley Sprague, PA-C
• Mary Sprague, MED. CCC-SLP
• Jeffrey William Spraker, D.P.T.
• Mary K Spraker, MD
• Kelsey R Sprang Jones, PSYD
• Jasmine Spratling, APC
• James Spratt III, MD
• Spreeisms
• Rebecca R Spreter, CRNA
• Spring Brook Dermatology, LLC

• Non-emergency Medical Transport (VAN) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Non-emergency Medical Transport (VAN) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.