Tequillia Flewellen, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

RN191895 Issued in GA

Practice address

1019 Morgan Dairy Rd
Milner, GA 30257-3130

Phone

(770) 927-5263

NPI assigned

Nov 11, 2024

Last updated

Nov 11, 2024By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ennoble HC DMV LLCGroup PAC ID 9032517925, 112 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ennoble HC DMV LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Fulton, MD
  • NPI 1104492115

  GA

  Medicare reassignment Care Compare group NPD
• Ennoble HC DMV II LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1134002900

  GA

  Medicare reassignment NPD
• Ennoble HC DMV III LLC

  • Geriatric Medicine (Family Medicine) Physician
  • Silver Spring, MD
  • NPI 1922981695

  GA

  Medicare reassignment NPD

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1902620529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 MORGAN DAIRY RD",
            "city": "MILNER",
            "state": "GA",
            "postal_code": "302573130",
            "telephone_number": "770-927-5263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 MORGAN DAIRY RD",
            "city": "MILNER",
            "state": "GA",
            "postal_code": "302573130",
            "telephone_number": "770-927-5263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEWELLEN",
        "first_name": "TEQUILLIA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "RN191895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barron Hands Healthcare
• Catherine Carroll
• Compassion Care, Inc.
• Pamela Harbin, RN
• Jerry Wayne Hope Jr.
• Susan S. Hope, P.T.
• Therapeds, LLC

• Family Medicine Physician in Milner, GA
• Providers in Milner, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.

Verify at the official NPI Registry.