Individual provider Active NPI

Tami Ayala Tran, APRN

  • Family Nurse Practitioner
  • Blue Ridge, GA
National Provider Identifier
1841808169
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP000662 Issued in GA
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

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220322000521 GA Practitioner - Nurse Practitioner 3072930361 Reassigns benefits to 1 organization

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
Hidden Valley Medical Center IncGroup PAC ID 5799768248, 18 clinicians

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

LicenseStateTypeSpecialty
GAA-NP000662GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Valley Medical Center Inc CurrentSince May 1, 2022 Accepting new patients
Hidden Valley Medical Center Inc CurrentSince May 1, 2022 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

  • Direct secure messaging: tami.tran.1@1563.direct.athenahealth.com
  • FHIR API: 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.

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": "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

Verify at the official NPI Registry.