Televatecomp Care

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TELEVATECOMP CARE

Practice address

210 Trilith Pkwy
Fayetteville, GA 30214-4616

Phone

(770) 309-5891

NPI assigned

Jul 12, 2023

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Suzanne Renee Tambasco, NPNPI 1417500786

Title

Provider

Phone

(770) 309-5891

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suzanne Renee Tambasco, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, GA
  • NPI 1417500786
  NPD Authorized official

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1467131086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 PEACHTREE RD NW # 915-4329",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 TRILITH PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144616",
            "telephone_number": "770-309-5891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEVATECOMP CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "TAMBASCO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "770-309-5891",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "suzannet@televatecompcare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "210 Trilith Pkwy",
            "city": "Fayetteville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302144616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tammy Adams Taylor
• Tammy Rena Taylor
• Tarra Taylor, P.T.
• Thomas K Taylor, MD
• Kelly Teed, MMSC, CGC
• Tesfaye Telila, MD
• Latasha Nicole Temple, ATC
• Lacana N Tenn, MLT
• Reddick Ray Matulac Terre, PT
• Tamara Terry, COTA/L

• Psychiatric/Mental Health Nurse Practitioner in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.