Tionya Lawrence, NP
Individual provider Active NPI Family Nurse Practitioner · Athens, GA
NPI 1679901920 · NPPES record last updated Sep 23, 2019
Key facts
- NPI
- 1679901920
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN207425 (GA)
- Practice address
- 675 College Ave
Athens, GA 30601-2635 - Phone
- (706) 546-5526
- Fax
- (706) 389-9527
- NPI assigned
- Oct 24, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Medical College of Georgia School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athens Model Neighborhood Health Center Inc
Practice addresses (Care Compare)
675 College Ave
Athens, GA 30601-2635
Phone (706) 546-5526
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140124001240 | GA | Practitioner - Nurse Practitioner | 4183852940 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN207425 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Model Neighborhood Health Center Inc | Current |
Accepting new patients | |
| Athens Model Neighborhood Health Center Inc | Current |
Accepting new patients |
Locations
675 College Ave
Athens, GA 30601
Phone (706) 546-5526
3320 Old Jefferson Rd
Ste 300D
Athens, GA 30607
Phone (706) 850-9041
402 McKinley Dr
Athens, GA 30601
Phone (706) 543-1145
870 Gaines School Rd
Athens, GA 30605
Phone (706) 546-7473
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN207425 | GA | Yes |
Addresses
Primary practice location
675 College Ave
Athens, GA 30601-2635
Mailing address
675 College Ave
Athens, GA 30601-2635
Phone (706) 546-5526
Other practice location 1
161 Washington St
Suite 1400
Conshohocken, PA 19428-2083
Phone (484) 351-3200
Other providers in Athens, GA
- Heather Lavender
- Randy C Lavender Jr.
- Dawanna Necoe Lawrence-Brightwell
- Casey R Lawrence
- Joseph Lawrence
- William Andrew Lawrence
- Yolanda Lawrence
- Graham Laws
- Lawson Family Chiropractic P.C.
- Kristin D Lawson
All providers in Athens, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2019. 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.