Tammie Dianne Oliver, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN227422 Issued in GA

Practice address

1085 Plaza Ave
Eastman, GA 31023-9102

Phone

(478) 559-1386

Fax

(478) 559-1388

NPI assigned

Jul 16, 2019

Sex

Female

Sole proprietor

No

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

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

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.

• Southeastern Surgery & Sleep Apnea Treatment Ctr. LLC

  • General Practice Physician
  • Macon, GA
  • NPI 1902935281

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1563235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1659923076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239102",
            "telephone_number": "478-559-1386",
            "fax_number": "478-559-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 PLAZA AVE",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310239102",
            "telephone_number": "478-559-1386",
            "fax_number": "478-559-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "TAMMIE",
        "middle_name": "DIANNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-16",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN227422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocmulgee Internal Medicine and Nephrology, LLC
• Ocmulgee Medical Services, LLC
• Ocmulgee Urology, LLC
• Brande Barlow Ogden, COTA/L
• Clayton Shane Oliver, DMD
• Amanda Llyn Parkerson, FNP-C
• James L. Parkerson, O.D.
• Patricia Patterson MD LLC
• Catherine Thompson Patrick, NP
• Keri Ann Paulk, CRNA

• All providers in Eastman, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.