Tanganika Paul McDonald, CNA

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

CN0028910673 Issued in GA

Practice address

205 Thomas Blvd
Warner Robins, GA 31093-3235

Phone

(855) 203-5085

NPI assigned

Jul 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Prolific Home Care LLC

  • Home Health Agency
  • Warner Robins, GA
  • NPI 1427810597

  In Home Supportive Care

  NPD Authorized official

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1427738418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 HIDDEN CREEK CIR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885267",
            "telephone_number": "478-867-9143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 THOMAS BLVD",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310933235",
            "telephone_number": "855-203-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "TANGANIKA",
        "middle_name": "PAUL",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "CN0028910673",
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "22-1768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea McCullough
• Morgan McCullough, RBT
• Patti S McCurdy, LMFT
• Mary McDaniels
• Tiffany McDermid
• Michael Boyce McElmurray Jr., L.D.O.
• Portia McElroy, RN
• Virgle W. McEver III, M.D.
• Kelsay McFall, D.O.
• Belinda Lynne McGhee

• In Home Supportive Care Agency in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.