Individual provider Active NPI

Rachael Marie Hawkins-Tighe, NP

  • Family Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1689209207
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN257489 Issued in GA
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

Updated by the provider on Oct 30, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200515002447 GA Practitioner - Nurse Practitioner 6002247558

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN257489GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athens Behavioral Medicine CurrentSince Nov 5, 2023 Accepting new patients
Georgia TRD Clinic, LLC CurrentSince Nov 5, 2023 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.

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

Verify at the official NPI Registry.