Tyronjala Shontel Gainey-Grant, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN175270 Issued in GA

Practice address

223 Medical Center Dr
Riverdale, GA 30274-2640

Phone

(770) 991-8500

NPI assigned

Nov 19, 2012

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 names 1

• Tyronjala Shontel Gainey Former name

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Lotus Haven PCGroup PAC ID 4688094980, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Lotus Haven PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1164035564

  GA, Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD Authorized official
• Uhs of Anchor L.P.

  • Psychiatric Hospital
  • Stockbridge, GA
  • NPI 1952537920

  GA

  Medicare reassignment NPD
• Mental Health Solution to Wellness PC

  • Psychiatric/Mental Health Nurse Practitioner
  • Stockbridge, GA
  • NPI 1760947204

  Psychiatric/Mental Health

  NPD Authorized official
• Uhs of Anchor L.P.

  • Psychiatric Hospital
  • Atlanta, GA
  • NPI 1023095429
  NPD
• Advanced Anesthesia Associates, PC

  • Anesthesiology Physician
  • Covington, GA
  • NPI 1649260738
  NPD (past)

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

{
    "created_epoch": "1353283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1659615342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 MEDICAL CENTER DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 MEDICAL CENTER DR",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742640",
            "telephone_number": "770-991-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINEY-GRANT",
        "first_name": "TYRONJALA",
        "middle_name": "SHONTEL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN175270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYRONJALA",
            "last_name": "GAINEY",
            "middle_name": "SHONTEL",
            "credential": "PMHNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mariana Franz, PT, DPT
• Kevin Stewart Freeman, M.D.
• Troy Lee Freeman, MSN, APRN, FNP-C
• Justin Frisbey
• G.I.Endoscopy Center
• Viralkumar Gajjar, PHARMD
• Derrickah Tiarah Gardner
• Rosalind Faith Gardner, CNM
• Rosalyn M. Garner, LCSW
• Shirley O Gates

• All providers in Riverdale, GA
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.