Individual provider Active NPI

Turena Raphiel Tante

  • Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1649872250
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN139191 Issued in GA
Practice address
1942 North Ave
Columbus, GA 31901-1525
Phone
(706) 596-1245
NPI assigned
Nov 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X RN139191 GA Primary

Addresses

Primary practice location

1942 North Ave
Columbus, GA 31901-1525

Mailing address

6419 Old Post CT
Columbus, GA 31909-3405
Phone (706) 593-1221

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211229001168 GA Practitioner - Nurse Practitioner 0547651572 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Columbus, LLC Single Specialty CurrentSince Nov 15, 2020 Accepting new patients
Mercymed of Columbus Inc Single Specialty CurrentSince Sep 28, 2023 Accepting new patients
Mercymed of Columbus Inc CurrentSince Oct 22, 2023 Accepting new patients
Pulmonary Medicine Inc Single Specialty PastSince Nov 15, 2020 Accepting new patients

Locations

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

3702 2nd Ave
Columbus, GA 31904
Phone (706) 507-9209

1942 North Ave
Columbus, GA 31901
Phone (706) 320-8751

3679 Steam Mill Rd
Columbus, GA 31906
Phone (706) 507-4687

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604966400000",
    "number": "1649872250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 OLD POST CT",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319093405",
            "telephone_number": "706-593-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 NORTH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011525",
            "telephone_number": "706-596-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTE",
        "first_name": "TURENA",
        "middle_name": "RAPHIEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN139191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.