Individual provider Active NPI

Chasity Christina Tierney, FNP-C

  • Family Nurse Practitioner
  • Evans, GA
National Provider Identifier
1811304744
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN208126 Issued in GA
Practice address
447 N Belair Rd Ste 101
Evans, GA 30809-3091
Phone
(706) 854-2222
Fax
(706) 854-2226
NPI assigned
Jul 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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 RN208126 GA Primary

Addresses

Primary practice location

447 N Belair Rd Ste 101
Evans, GA 30809-3091

Mailing address

PO Box 1705
Augusta, GA 30903-1705
Phone (706) 774-7263

Other practice location 1

107 Walnut Ln Ste 102
North Augusta, SC 29860-8629
Phone (803) 202-7110

Other practice location 2

1021 Silver Bluff Rd
Aiken, SC 29803-5879
Phone (803) 648-0587

Other practice location 3

925 Branch Ct Ste 101
Grovetown, GA 30813-3325
Phone (706) 396-1451

Other practice location 4

336 Georgia Ave Ste 100
North Augusta, SC 29841-3849
Phone (803) 202-3351

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141013000739 GA Practitioner - Nurse Practitioner 0446470579 Reassigns benefits to 2 organizations
I20170822003213 SC Practitioner - Nurse Practitioner 0446470579

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellstar Medical Group LLCGroup PAC ID 6709065402, 3,059 clinicians

Practice addresses (Care Compare)

1120 15TH St
Augusta, GA 30912-0004
Phone (706) 721-8623

5150 Stilesboro N W Rd
Suite 220
Kennesaw, GA 30152-7742
Phone (770) 424-8222

989 Saint Sebastian Way
Augusta, GA 30912-0004
Phone (706) 721-2171

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN208126GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Sep 1, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2019 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
University Prompt Care Current Accepting new patients
University Health Care Physicians LLC Current Accepting new patients
Au Medical Associates Inc CurrentSince Jul 1, 2019 Accepting new patients
University Medical Group LLC Current Accepting new patients

Locations

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

447 N Belair Rd
Ste 101
Evans, GA 30809
Phone (706) 854-2222

925 Branch Ct
Ste 101
Grovetown, GA 30813
Phone (706) 396-1199

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1405036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1811304744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1705",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309031705",
            "telephone_number": "706-774-7263",
            "fax_number": "706-774-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 N BELAIR RD STE 101",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308093091",
            "telephone_number": "706-854-2222",
            "fax_number": "706-854-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Walnut Ln Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298608629",
            "country_code": "US",
            "telephone_number": "803-202-7110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Silver Bluff Rd",
            "address_purpose": "LOCATION",
            "city": "Aiken",
            "state": "SC",
            "postal_code": "298035879",
            "country_code": "US",
            "telephone_number": "803-648-0587",
            "fax_number": "803-648-9846",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Branch Ct Ste 101",
            "address_purpose": "LOCATION",
            "city": "Grovetown",
            "state": "GA",
            "postal_code": "308133325",
            "country_code": "US",
            "telephone_number": "706-396-1451",
            "fax_number": "706-396-1452",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "336 Georgia Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Augusta",
            "state": "SC",
            "postal_code": "298413849",
            "country_code": "US",
            "telephone_number": "803-202-3351",
            "fax_number": "803-819-8532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIERNEY",
        "first_name": "CHASITY",
        "middle_name": "CHRISTINA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-11",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN208126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.