Tamisha T Spradley

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

CN00028840194 Issued in GA

Practice address

1716 Queen Victoria CT
Locust Grove, GA 30248-3656

Phone

(678) 834-3148

NPI assigned

Jul 22, 2020

Last updated

Jul 22, 2020By the provider in NPPES

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

• Tameisha T Spradley Professional name

Electronic endpoints 1

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": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1679182901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 QUEEN VICTORIA CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483656",
            "telephone_number": "678-834-3148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 QUEEN VICTORIA CT",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483656",
            "telephone_number": "678-834-3148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPRADLEY",
        "first_name": "TAMISHA",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-22",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "CN00028840194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "spradleyshomecare.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information",
            "address_1": "1716 Queen Victoria Ct",
            "city": "Locust Grove",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302483656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMEISHA",
            "last_name": "SPRADLEY",
            "middle_name": "T",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Southern Oaks Healthcare Services, Inc.
• Southern Surgical & Medical,Inc.
• Southwest Medical Transportation,Inc.
• Spalding Regional Urgent Care Center at Heron Bay, L.L.C. (Urgent Care at Heron Bay)
• Kristopher Spears
• Jeannine St Paul, RN
• John Michael Stavrinakis, MS, LAT, ATC
• Sushrut LLC
• Sushrut LLC
• Hannah Defore Swirsky

• Home Health Aide in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Home Health Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.