Active NPI
Tia Lavarion Chay, DNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Marietta, GA
National Provider Identifier
1477233260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- RN279305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Professionals of Georgia, LLC | Current | Accepting new patients | |
| Sandy Plains Pediatrics PC | Past | Accepting new patients | |
| Sandy Plains Medical Group, LLC | Past | 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.
-
- Psychiatry Physician
- Suwanee, GA
- NPI 1396277968
-
- Pediatrics Physician
- Marietta, GA
- NPI 1215889126
-
- Pediatrics Physician
- Marietta, GA
- NPI 1639346471
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.