Active NPI
Tami Ayala Tran, APRN
- Family Nurse Practitioner
- Blue Ridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- GAA-NP000662
- Practice address
- 101 Riverstone Vis Ste 111
Blue Ridge, GA 30513-6665 - Phone
- (706) 492-3200
- Fax
- (706) 492-3206
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11006208 | FL | |
| Family Nurse Practitioner | 363LF0000X | GAA-NP000662 | GA | Primary |
Addresses
Primary practice location
101 Riverstone Vis Ste 111
Blue Ridge, GA 30513-6665
Mailing address
101 Riverstone Vis Ste 111
Blue Ridge, GA 30513-6665
Phone (706) 492-3200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Riverstone Vis
Suite 111
Blue Ridge, GA 30513-6665
Phone (706) 946-4200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GAA-NP000662 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hidden Valley Medical Center Inc | Current | Accepting new patients | |
| Hidden Valley Medical Center Inc | Current | Accepting new patients |
Locations
101 Riverstone Vis
Ste 111
Blue Ridge, GA 30513
Phone (706) 258-4400
2855 Old Highway 5
Ste 103
Blue Ridge, GA 30513
Phone (706) 632-2066
Interoperability endpoints
- tami.tran.1@1563.direct.athenahealth.com
- https://api.platform.athenahealth.com/1563/brand/1/csg/41/fhir/r4
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.
-
- Internal Medicine Physician
- Blue Ridge, GA
- NPI 1073516621
-
- Rural Health Clinic/Center
- Blue Ridge, GA
- NPI 1710215355
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Blue Ridge, GA
- NPI 1851362263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1841808169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERSTONE VIS STE 111",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305136665",
"telephone_number": "706-492-3200",
"fax_number": "706-492-3206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIVERSTONE VIS STE 111",
"city": "BLUE RIDGE",
"state": "GA",
"postal_code": "305136665",
"telephone_number": "706-492-3200",
"fax_number": "706-492-3206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAN",
"first_name": "TAMI",
"middle_name": "AYALA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11006208",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "GAA-NP000662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blue Ridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.