Individual provider Active NPI

Tammy Michelle Hairel, CPNP

  • Nurse Practitioner
  • Rome, GA
National Provider Identifier
1851312680
Registry record updated Jul 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN094798 Issued in GA
Practice address
85 John Maddox Drive Connector NW
Rome, GA 30165-1233
Phone
(762) 235-3730
Fax
(706) 234-9732
NPI assigned
Jul 21, 2006
Last updated
Jul 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN094798 GA Primary

Addresses

Primary practice location

85 John Maddox Drive Connector NW
Rome, GA 30165-1233

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (762) 235-1000

Other names 1

  • Tammy Michelle Beason Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tammy.hairel.1@1498.direct.athenahealth.com

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
I20100830000537 GA Practitioner - Nurse Practitioner 0840297792 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC Current Accepting new patients
Harbin Clinic, LLC CurrentSince Apr 27, 2020 Accepting new patients
Harbin Clinic, LLC CurrentSince Apr 27, 2020 Accepting new patients
Isbell Medical Group, P.C. Past Accepting new patients

Locations

1013 N 5th Ave NE
Rome, GA 30165
Phone (706) 234-9992

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

Interoperability endpoints

  • Direct secure messaging: thairel3004807@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1851312680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "762-235-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 JOHN MADDOX DRIVE CONNECTOR NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651233",
            "telephone_number": "762-235-3730",
            "fax_number": "706-234-9732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAIREL",
        "first_name": "TAMMY",
        "middle_name": "MICHELLE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN094798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tammy.hairel.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "85 John Maddox Drive Connector NW",
            "city": "Rome",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301651233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMMY",
            "last_name": "BEASON",
            "middle_name": "MICHELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rome, GA

Sources for this page

Verify at the official NPI Registry.