Tabbertina Bundrage
Individual provider Active NPI Pathology Specialist/Technologist · Milledgeville, GA
NPI 1487582185 · NPPES record last updated May 12, 2026
Key facts
- NPI
- 1487582185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pathology Specialist/Technologist 246Q00000X
- Practice address
- 1776 N Jefferson St NE
Milledgeville, GA 31061-2229 - Phone
- (478) 456-1036
- NPI assigned
- May 12, 2026
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Five-T Housing LLC | Current | Accepting new patients |
Locations
1776 N Jefferson St NE
Milledgeville, GA 31061
Phone (478) 412-1992
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pathology Specialist/Technologist | 246Q00000X | GA | Yes |
Addresses
Primary practice location
1776 N Jefferson St NE
Milledgeville, GA 31061-2229
Mailing address
1776 N Jefferson St NE
Milledgeville, GA 31061-2229
Phone (478) 456-1036
Other providers in Milledgeville, GA
- Haley Locklin Brown
- Vickie M Brown
- Theresa Kassack Buchanan
- Mark Bukari
- Erlyn Bullanday
- Titus Bundrage Sr.
- Lauren Ann Burkhalter
- Terri J Burner
- Tonya M Burnett
- Sydney Allyson Butler
All providers in Milledgeville, GA · Pathology Specialist/Technologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.