Paula Renee Tabor, C.N.A.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

21271595 Issued in GA

Practice address

115 E Main St Ste A1B
Buford, GA 30518-5727

Phone

(470) 642-2665

NPI assigned

Jan 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1508518986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST # 104",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185727",
            "telephone_number": "470-642-2665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAIN ST STE A1B",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185727",
            "telephone_number": "470-642-2665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5818 Mathias Way",
            "address_purpose": "LOCATION",
            "city": "Buford",
            "state": "GA",
            "postal_code": "305187330",
            "country_code": "US",
            "telephone_number": "678-779-0101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABOR",
        "first_name": "PAULA",
        "middle_name": "RENEE",
        "credential": "C.N.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "21271595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING AIDE",
            "identifier": "CN0028857742",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Priyanka Tayee, DDS

• Home Health Agency in Buford, GA
• Providers in Buford, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.