Active NPI
Tonia Dry
- Physician Assistant
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 004785
- Practice address
- 6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221 - Phone
- (404) 321-9900
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 004785 | GA | Primary |
Addresses
Primary practice location
6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221
Mailing address
6 Executive Park Dr NE
Suite 10
Atlanta, GA 30329-2221
Phone (404) 321-9900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010946607A | Medicaid | GA | |
| 010946607M | Medicaid | GA |
Other names 1
- Tonia Grantham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Wellstar Cardiovascular Medicine, LLC | Past | Accepting new patients | |
| Surgical Assistants of America, Inc. | Past | Accepting new patients |
Locations
6 Executive Park Dr NE
Ste 10
Atlanta, GA 30329
Phone (404) 321-9900
6095 Professional Pkwy
Ste B200
Douglasville, GA 30134
Phone (404) 321-9900
677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435
2540 Windy Hill Rd SE
Marietta, GA 30067
Phone (470) 644-1274
Interoperability endpoints
- tdry129170@directwellstar.org
- tdry@poa1811.srs-direct.com
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Surgery Physician
- Duluth, GA
- NPI 1417977885
-
- Cardiovascular Disease Physician
- Marietta, GA
- NPI 1457320319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453161600000",
"number": "1902825342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 EXECUTIVE PARK DR NE",
"address_2": "SUITE 10",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292221",
"telephone_number": "404-321-9900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 EXECUTIVE PARK DR NE",
"address_2": "SUITE 10",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292221",
"telephone_number": "404-321-9900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRY",
"first_name": "TONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2016-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "004785",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010946607A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010946607M",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TONIA",
"last_name": "GRANTHAM",
"credential": "P.A.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.