Tisha Marie Titus, MD, MPH

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

60480 Issued in GA

Practice address

1044 Boulevard Dr NE
Atlanta, GA 30317-1502

Phone

(678) 949-9360

NPI assigned

Dec 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1891979340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1044 BOULEVARD DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171502",
            "telephone_number": "678-949-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 BOULEVARD DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303171502",
            "telephone_number": "678-949-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TITUS",
        "first_name": "TISHA",
        "middle_name": "MARIE",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MN",
            "license": "46300",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "GA",
            "license": "60480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPIN",
            "identifier": "26 000 2270",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvette Tisdale
• Titanium Newco Georgia LLC
• Boghuma Kabisen Titanji, MD PHD
• Nicholas Vincent Titelbaum, MD
• Robert M. Titelman, M.D.
• Diana Tiwari
• Jessica Tiwari, LPC, CRC
• TK Consulting, Inc.
• TK Staffing Solutions Group
• Andrew Thomas Tkaczuk, M.D.

• Public Health & General Preventive Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Public Health & General Preventive Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.