Cheryl Dawn Tioaquen, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

9264 Issued in GA

Practice address

3370 Paddocks Pkwy
Suwanee, GA 30024-9119

Phone

(770) 814-2222

NPI assigned

Dec 16, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ctioaquen@aadermaffiliates.emadirect.md

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.

• Dermatology Specialists of Georgia, LLC

  • Dermatology Physician
  • Athens, GA
  • NPI 1437298957
  Medicare reassignment
• Southeastern Dermatology Group PA

  • Dermatology Physician
  • Panama City, FL
  • NPI 1518972231

  GA

  Medicare reassignment
• West Georgia Dermatology PC

  • Specialist
  • Lagrange, GA
  • NPI 1760493167

  Multi-Specialty

  NPD
• Lavender Inpatient Services LLC

  • Internal Medicine Physician
  • Cartersville, GA
  • NPI 1902215767

  Multi-Specialty

  NPD (past)
• Mount Lassen Emergency Physicians LLC

  • Emergency Medicine Physician
  • Cartersville, GA
  • NPI 1730598590

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1740751973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1306 CONCOURSE DR STE 201",
            "city": "LINTHICUM HEIGHTS",
            "state": "MD",
            "postal_code": "210901033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 PADDOCKS PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300249119",
            "telephone_number": "770-814-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIOAQUEN",
        "first_name": "CHERYL",
        "middle_name": "DAWN",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haritha Thota, FNP
• Thrive Counseling Services
• Bara Benita Tillman
• Bina Rajesh Tilva, RPH
• Taylor Ann Timmerman, OTR/L
• TLC of Georgia LLC
• Van Hoa To
• Jennifer Todaro, APC
• Peter Brett Toman, O.D.
• Richard M Tomelevage, RPH

• Physician Assistant in Suwanee, GA
• Providers in Suwanee, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.