Active NPI
Travis Tarleton
- Pharmacist
- Ellijay, GA
National Provider Identifier
1487499778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH031580
- Practice address
- 100 Old Orchard SQ
Ellijay, GA 30540-8172 - Phone
- (706) 635-7176
- NPI assigned
- Jun 27, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH031580 | GA | Primary |
Addresses
Primary practice location
100 Old Orchard SQ
Ellijay, GA 30540-8172
Mailing address
146 Moorings Run
Jasper, GA 30143-5768
Phone (770) 568-1925
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH031580 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719446400000",
"number": "1487499778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 MOORINGS RUN",
"city": "JASPER",
"state": "GA",
"postal_code": "301435768",
"telephone_number": "770-568-1925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 OLD ORCHARD SQ",
"city": "ELLIJAY",
"state": "GA",
"postal_code": "305408172",
"telephone_number": "706-635-7176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARLETON",
"first_name": "TRAVIS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-06-27",
"last_updated": "2024-06-27",
"certification_date": "2024-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH031580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ellijay, GA
- Southern Health Corp of Ellijay
- Southland Health Services of Georgia, Inc.
- Linda Jeannette Stanley, LMT
- Donna Greene Sweat, FNP-C
- Talbot Dental Associates PC
- Terrance Taylor
- The Atlanta Cardiology Group, PC
- The Raisig Clinic and Wellness Center
- Timothy Alan Parker OD LLC
- Tri-County Ambulance Service
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.