Tabatha Lambert Mauriello

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH021368 Issued in GA

Practice address

931 Lower Fayetteville Rd
Suite K
Newnan, GA 30263-5790

Phone

(770) 502-7055

Fax

(770) 502-7054

NPI assigned

Jan 11, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1851638761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD",
            "address_2": "SUITE K",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "770-502-7055",
            "fax_number": "770-502-7054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 LOWER FAYETTEVILLE RD",
            "address_2": "SUITE K",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302635790",
            "telephone_number": "770-502-7055",
            "fax_number": "770-502-7054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURIELLO",
        "first_name": "TABATHA",
        "middle_name": "LAMBERT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH021368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Mathwig, MPT
• Amy Hendrick Matistic, RPH
• Andra Bernita Matthews, NP
• Byron Tyrone Matthews
• Youilite Spears Matthews, LCSW
• Destini Maynard
• Starlet Mays
• Tom John Albunian Mayuga, DO
• William H Mayweather, MD
• Glenn Mark McAlpin, MD

• Pharmacist in Newnan, GA
• Providers in Newnan, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.