Individual provider Active NPI

Tiara Leonna Colbert, NP

  • Family Nurse Practitioner
  • Thomaston, GA
National Provider Identifier
1689205593
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN239116 Issued in GA
Practice address
310 Avenue F
Thomaston, GA 30286-3829
Phone
(706) 647-6676
Fax
(706) 647-0374
NPI assigned
Jan 29, 2020
Last updated
Dec 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN239116 GA
Family Nurse Practitioner 363LF0000X RN239116 GA Primary

Addresses

Primary practice location

310 Avenue F
Thomaston, GA 30286-3829

Mailing address

200 Barnett LN
Thomaston, GA 30286-5460

Other practice location 1

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1000

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
I20200623003425 GA Practitioner - Nurse Practitioner 0547682387 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Qofl Services LLCGroup PAC ID 6709030133, 21 clinicians

Practice addresses (Care Compare)

2455 Oak Grove Church Rd
Carrollton, GA 30117-9513
Phone (248) 528-2116

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN239116GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP CurrentSince Feb 16, 2026 Accepting new patients
Community Care Health Network LLC CurrentSince Jan 1, 2026 Accepting new patients
Qofl Services LLC CurrentSince Sep 6, 2022 Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

1000 Parkwood Cir SE
Ste 900
Atlanta, GA 30339
Phone (216) 393-8684

2455 Oak Grove Church Rd
Carrollton, GA 30117
Phone (770) 834-1737

239 Arrowhead Blvd
Jonesboro, GA 30236
Phone (404) 312-0496

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": "1580256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1689205593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BARNETT LN",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302865460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 AVENUE F",
            "city": "THOMASTON",
            "state": "GA",
            "postal_code": "302863829",
            "telephone_number": "706-647-6676",
            "fax_number": "706-647-0374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1499 Fair Rd",
            "address_purpose": "LOCATION",
            "city": "Statesboro",
            "state": "GA",
            "postal_code": "304581683",
            "country_code": "US",
            "telephone_number": "912-486-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "TIARA",
        "middle_name": "LEONNA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-29",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN239116",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN239116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomaston, GA

Sources for this page

Verify at the official NPI Registry.