Active NPI
Rachael Marie Hawkins-Tighe, NP
- Family Nurse Practitioner
- Watkinsville, GA
National Provider Identifier
1689209207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN257489
- Practice address
- 1361 Jennings Mill Rd Ste 201
Watkinsville, GA 30677-7292 - Phone
- (706) 316-1908
- Fax
- (706) 316-2062
- NPI assigned
- Mar 4, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN257489 | GA | Primary |
Addresses
Primary practice location
1361 Jennings Mill Rd Ste 201
Watkinsville, GA 30677-7292
Mailing address
1361 Jennings Mill Rd
Watkinsville, GA 30677-7279
Phone (706) 316-1908
Other practice location 1
1741 Hog Mountain Rd
Watkinsville, GA 30677-1947
Phone (706) 705-6152
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200515002447 | GA | Practitioner - Nurse Practitioner | 6002247558 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN257489 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athens Behavioral Medicine | Current | Accepting new patients | |
| Georgia TRD Clinic, LLC | Current | Accepting new patients |
Locations
1361 Jennings Mill Rd
Ste 201
Watkinsville, GA 30677
Phone (706) 316-1908
Organizations & group practices 2
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.
-
- Psychiatry Physician
- Bogart, GA
- NPI 1902026347
-
- Psychiatry Physician
- Watkinsville, GA
- NPI 1376222075
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698624000000",
"number": "1689209207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1361 JENNINGS MILL RD",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777279",
"telephone_number": "706-316-1908",
"fax_number": "706-316-2062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1361 JENNINGS MILL RD STE 201",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777292",
"telephone_number": "706-316-1908",
"fax_number": "706-316-2062"
}
],
"practiceLocations": [
{
"address_1": "1741 Hog Mountain Rd",
"address_purpose": "LOCATION",
"city": "Watkinsville",
"state": "GA",
"postal_code": "306771947",
"country_code": "US",
"telephone_number": "706-705-6152",
"fax_number": "706-749-7880",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINS-TIGHE",
"first_name": "RACHAEL",
"middle_name": "MARIE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-04",
"last_updated": "2023-10-30",
"certification_date": "2023-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN257489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.