Individual provider Active NPI

Tia Lavarion Chay, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marietta, GA
National Provider Identifier
1477233260
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN279305 Issued in GA
Practice address
3225 Shallowford Rd Ste 1300
Marietta, GA 30062-7033
Phone
(678) 560-7160
NPI assigned
Jul 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN279305 GA Primary

Addresses

Primary practice location

3225 Shallowford Rd Ste 1300
Marietta, GA 30062-7033

Mailing address

3225 Shallowford Rd Ste 1300
Marietta, GA 30062-7033
Phone (678) 560-7160

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106001234 GA Practitioner - Nurse Practitioner 1052768579 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Professionals of Georgia, LLC CurrentSince Feb 5, 2026 Accepting new patients
Sandy Plains Pediatrics PC PastSince Dec 1, 2024 Accepting new patients
Sandy Plains Medical Group, LLC PastSince Dec 1, 2024 Accepting new patients

Locations

700 Center St
Ste 202
Columbus, GA 31901
Phone (706) 327-5066

1325 Satellite Blvd NW
Ste 400
Suwanee, GA 30024
Phone (470) 713-0414

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732838400000",
    "number": "1477233260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 1300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627033",
            "telephone_number": "678-560-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3225 SHALLOWFORD RD STE 1300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300627033",
            "telephone_number": "678-560-7160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAY",
        "first_name": "TIA",
        "middle_name": "LAVARION",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN279305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.