Individual provider Active NPI

Tisha V Tipnis, MD

  • Internal Medicine Physician
  • Snellville, GA
National Provider Identifier
1457464885
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
058251 Issued in GA
Practice address
2295 Ronald Reagan Pkwy Ste 300
Snellville, GA 30078-5739
Phone
(770) 982-2331
Fax
(770) 972-4104
NPI assigned
Aug 17, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 058251 GA Primary
Hospitalist Physician 208M00000X 058251 GA

Addresses

Primary practice location

2295 Ronald Reagan Pkwy Ste 300
Snellville, GA 30078-5739

Mailing address

5281 Vernon Springs TRL
Atlanta, GA 30327-4511
Phone (770) 982-2331

Other practice location 1

5673 Peachtree Dunwoody Rd Ste 320
Atlanta, GA 30342-1805
Phone (404) 855-5660

Other practice location 2

970 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2159
Phone (470) 490-1901

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060911000555 GA Practitioner - HospitalistPractitioner - Internal Medicine 1557365285 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ten Med LLCGroup PAC ID 6406101005, 5 clinicians

Practice addresses (Care Compare)

1835 Savoy Dr
Suite 200
Atlanta, GA 30341-1073
Phone (404) 855-5660

2295 Ronald Reagan Pkwy
Suite 300
Snellville, GA 30078-5739
Phone (770) 982-2331

5673 Peachtree Dunwoody
Suite 320
Atlanta, GA 30342-1805
Phone (404) 855-5660

696 Grayson Hwy
Lawrenceville, GA 30046-6372
Phone (470) 508-0696

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Internal Medicine CurrentSince Jan 1, 2012 Accepting new patients
Ten Med LLC Internal Medicine CurrentSince Jun 21, 2017 Accepting new patients
Gwinnett Medical Group, Inc Internal Medicine Past Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1835 Savoy Dr
Ste 200
Atlanta, GA 30341
Phone (404) 855-5660

970 Joe Frank Harris Pkwy SE
Cartersville, GA 30120
Phone (470) 490-1901

2575 Peachtree Pkwy
Ste 250
Cumming, GA 30041
Phone (404) 251-1880

696 Highway 20 S
Lawrenceville, GA 30046
Phone (770) 963-0927

5673 Peachtree Dunwoody Rd
Ste 320
Sandy Springs, GA 30342
Phone (404) 855-5660

2295 Ronald Reagan Pkwy
Ste 300
Snellville, GA 30078
Phone (678) 907-3242

Interoperability endpoints

  • Direct secure messaging: tenmedllc.tishatipnis@159903.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1457464885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5281 VERNON SPRINGS TRL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303274511",
            "telephone_number": "770-982-2331",
            "fax_number": "770-972-4104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 RONALD REAGAN PKWY STE 300",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785739",
            "telephone_number": "770-982-2331",
            "fax_number": "770-972-4104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5673 Peachtree Dunwoody Rd Ste 320",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421805",
            "country_code": "US",
            "telephone_number": "404-855-5660",
            "fax_number": "404-855-5696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "970 Joe Frank Harris Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301202159",
            "country_code": "US",
            "telephone_number": "470-490-1901",
            "fax_number": "470-490-1908",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIPNIS",
        "first_name": "TISHA",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "058251",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "058251",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

Verify at the official NPI Registry.