Individual provider Active NPI

Tionya Lawrence, NP

  • Family Nurse Practitioner
  • Athens, GA
National Provider Identifier
1679901920
Registry record updated Sep 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN207425 Issued in GA
Practice address
675 College Ave
Athens, GA 30601-2635
Phone
(706) 546-5526
Fax
(706) 389-9527
NPI assigned
Oct 24, 2013
Last updated
Sep 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN207425 GA Primary

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

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140124001240 GA Practitioner - Nurse Practitioner 4183852940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

675 College Ave
Athens, GA 30601-2635
Phone (706) 546-5526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN207425GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Model Neighborhood Health Center Inc CurrentSince Oct 1, 2015 Accepting new patients
Athens Model Neighborhood Health Center Inc CurrentSince Oct 1, 2015 Accepting new patients

Locations

3320 Old Jefferson Rd
Ste 300D
Athens, GA 30607
Phone (706) 850-9041

402 McKinley Dr
Athens, GA 30601
Phone (706) 543-1145

675 College Ave
Athens, GA 30601
Phone (706) 546-5526

870 Gaines School Rd
Athens, GA 30605
Phone (706) 546-7463

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1679901920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 COLLEGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012635",
            "telephone_number": "706-546-5526",
            "fax_number": "706-389-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 COLLEGE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306012635",
            "telephone_number": "706-546-5526",
            "fax_number": "706-389-9527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Washington St",
            "address_2": "Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Conshohocken",
            "state": "PA",
            "postal_code": "194282083",
            "country_code": "US",
            "telephone_number": "484-351-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "TIONYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-24",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN207425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.