Tangela C. Atkinson, MD
Individual provider Active NPI Family Medicine Physician · Hiram, GA
NPI 1659320786 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1659320786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 077534 (GA)
- Practice address
- 176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836 - Phone
- (678) 945-8200
- NPI assigned
- May 8, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Florida College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Wellstar Medical Group LLC
Practice addresses (Care Compare)
176 Charles Hardy Pkwy C
Hiram, GA 30141-1836
Phone (678) 945-8200
Hospital & facility affiliations
- Centerwell Home Health
- Wellstar Home Health, LLC
- Wellstar Cobb Medical Center
- Wellstar Paulding Medical Center
- Wellstar Kennestone Regional Medical Center
- Wellstar Douglas Medical Center
- Wellstar Windy Hill Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.93 of 100
- Quality
- 82.14
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AL, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050504000359 | AL | Practitioner - Family Practice | 7214977701 | Reassigns benefits to 1 organization |
| I20170710001552 | GA | Practitioner - Family Practice | 7214977701 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23906 | AL | MD | Family Medicine Physician |
| 077534 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| USA Health - Mci Business Services LLC | Current | Accepting new patients | |
| University of South Alabama | Family Medicine | Current | Accepting new patients |
| University of South Alabama | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Current |
Accepting new patients | |
| Wellstar Medical Group, LLC | Family Medicine | Current | Accepting new patients |
| University of South Alabama | Family Medicine | Current |
Accepting new patients |
| USA Health Physician Billing Services LLC | Current | Accepting new patients | |
| Greater Mobile Physicians for Women PC | Past | Accepting new patients | |
| Greater Mobile Physicians for Women PC | Past | Accepting new patients |
Locations
1660 Spring Hill Ave
Ste 3069
Mobile, AL 36604
Phone (251) 445-8405
2451 Fillingim St
Mobile, AL 36617
Phone (251) 434-3711
1660 Spring Hill Ave
Mobile, AL 36604
Phone (251) 445-9616
176 Charles Hardy Pkwy
#C
Hiram, GA 30141
Phone (678) 945-8200
5150 Stilesboro Rd NW
Ste 120
Kennesaw, GA 30152
Phone (678) 354-0230
5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222
Interoperability endpoints
- tatkinson141281@directwellstar.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23906 | AL | |
| Family Medicine Physician | 207Q00000X | 077534 | GA | Yes |
Addresses
Primary practice location
176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836
Mailing address
176 Charles Hardy Pkwy Unit C
Hiram, GA 30141-1836
Phone (678) 945-8200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51533181 | Other | AL | BCBS |
| 009935906 | Medicaid | AL | |
| 1523470 | Medicaid | LA | |
| 02154090 | Medicaid | MS |
Other providers in Hiram, GA
- Damisha Andrade
- Nancy Andreycak
- Obianuju Precious Anumba
- Shayan Shuja Anwar
- Sameer Arora
- Lataura Atwell-Small
- Anais Maria Avery
- Andre T Ayers
- Sylvester Ayewoh
- Azita Bahrami
All providers in Hiram, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.