Tonika Tchampo

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

CO076418 Issued in GA

Practice address

8050 Taylor Rd Apt 1101
Riverdale, GA 30274-4392

Phone

(205) 276-0615

NPI assigned

Oct 21, 2020

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

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1609475565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8050 TAYLOR RD APT 1101",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744392",
            "telephone_number": "205-276-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8050 TAYLOR RD APT 1101",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302744392",
            "telephone_number": "205-276-0615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TCHAMPO",
        "first_name": "TONIKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "GA",
            "license": "CO076418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tabe Tambi, MD
• Alicia Tate
• Volanda U Tate
• Clifford Taylor II
• Michael Andrew Taylor, M.S. CCC-SLP
• Yannique Tello, CNM
• Tender Heart Homecare Services LLC
• Idrisse B Tetsadjio, PHARMACIST
• The Kiya House, Inc.
• The Kroger Co

• Durable Medical Equipment & Medical Supplies in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Durable Medical Equipment & Medical Supplies in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.