Individual provider Active NPI

Tasia Logan, NP

  • Nurse Practitioner
  • Covington, GA
National Provider Identifier
1720846421
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN306133 Issued in GA
Practice address
9202 Highway 278 NE
Covington, GA 30014-7011
Phone
(678) 342-8660
NPI assigned
Mar 8, 2024
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN306133 GA Primary
Internal Medicine Physician 207R00000X RN306133 GA

Addresses

Primary practice location

9202 Highway 278 NE
Covington, GA 30014-7011

Mailing address

150 Edinburgh LN
Covington, GA 30016-7822
Phone (443) 710-7139

Other practice location 1

4146 Jonesboro Rd
Forest Park, GA 30297-1038
Phone (470) 666-4762

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
I20250501001182 GA Practitioner - Nurse Practitioner 6002332160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Medical Care CorporationGroup PAC ID 6002802220, 368 clinicians

Practice addresses (Care Compare)

9202 Hwy 278 NE
Covington, GA 30014-7011
Phone (678) 342-8660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN306133GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Health and Wellness Solutions Family CurrentSince Mar 1, 2024 Accepting new patients
Piedmont Medical Care Corporation Internal Medicine CurrentSince May 1, 2025 Accepting new patients

Locations

105 Collier Rd NW
Ste 5020
Atlanta, GA 30309
Phone (404) 350-3860

9202 Highway 278 NE
Covington, GA 30014
Phone (678) 342-8660

4146 Jonesboro Rd
Forest Park, GA 30297
Phone (404) 361-2469

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1720846421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 EDINBURGH LN",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300167822",
            "telephone_number": "443-710-7139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9202 HIGHWAY 278 NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300147011",
            "telephone_number": "678-342-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4146 Jonesboro Rd",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "GA",
            "postal_code": "302971038",
            "country_code": "US",
            "telephone_number": "470-666-4762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "TASIA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-08",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN306133",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "RN306133",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

Verify at the official NPI Registry.