Individual provider Active NPI

Tammy A Buchanon, APRN

  • Family Nurse Practitioner
  • Leesburg, GA
National Provider Identifier
1477102713
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
305569 Issued in GA
Practice address
118 Robert B Lee Dr
Leesburg, GA 31763-2600
Phone
(229) 759-6508
NPI assigned
Sep 10, 2019
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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 305569 GA Primary

Addresses

Primary practice location

118 Robert B Lee Dr
Leesburg, GA 31763-2600

Mailing address

2415 Effler Rd
Maryville, TN 37803-6609
Phone (865) 850-3271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230123002030 TN Practitioner - Nurse Practitioner 4385015791 Reassigns benefits to 3 organizations
I20251231000482 GA Practitioner - Nurse Practitioner 4385015791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipc Pac Healthcare Services of Tennessee PCGroup PAC ID 0840587572, 74 clinicians

Practice addresses (Care Compare)

118 Robert B Lee Dr
Leesburg, GA 31763-2600
Phone (229) 759-6508

407 Laura Lee Dr
White Pine, TN 37890-3500
Phone (865) 327-4135

505 N Roan St
Johnson City, TN 37601-4740
Phone (423) 975-2000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
305569GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc CurrentSince Jan 5, 2026 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC CurrentSince Dec 12, 2022 Accepting new patients
CS Pacs 3 Southeast, LLC CurrentSince Sep 9, 2024 Accepting new patients
NV Pacs 2 LLC CurrentSince Dec 12, 2022 Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Jan 5, 2026 Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients

Locations

1300 Newton Rd
Albany, GA 31701
Phone (229) 431-1320

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

118 Robert B Lee Dr
Leesburg, GA 31763
Phone (229) 759-6508

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

Organizations & group practices 7

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 1

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1477102713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 EFFLER RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378036609",
            "telephone_number": "865-850-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ROBERT B LEE DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317632600",
            "telephone_number": "229-759-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHANON",
        "first_name": "TAMMY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "305569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

Verify at the official NPI Registry.