Active NPI
Tasneem Waliany, PA-C
- Physician Assistant
- Atlanta, GA
National Provider Identifier
1710710041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5172
- Practice address
- 631 Miami Circle Suite #20
Loft #15
Atlanta, GA 30324 - Phone
- (404) 731-1744
- NPI assigned
- Aug 22, 2024
- Last updated
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5172 | GA | Primary |
Addresses
Primary practice location
631 Miami Circle Suite #20
Loft #15
Atlanta, GA 30324
Mailing address
1820 Peachtree St NW Unit 1608
Atlanta, GA 30309-8403
Phone (404) 229-7804
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5172 | GA | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1710710041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 PEACHTREE ST NW UNIT 1608",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303098403",
"telephone_number": "404-229-7804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "631 MIAMI CIRCLE SUITE #20",
"address_2": "LOFT #15",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30324",
"telephone_number": "404-731-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIANY",
"first_name": "TASNEEM",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-22",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "5172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.