Tamara Lynn Marshall, P.A.A.A.
Individual provider Active NPI Anesthesiologist Assistant · Douglasville, GA
NPI 1922081330 · NPPES record last updated Feb 7, 2014
Key facts
- NPI
- 1922081330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiologist Assistant 367H00000X
- License
- 002716 (GA)
- Practice address
- 8954 Hospital Drive
Douglasville, GA 30134 - Phone
- (770) 920-6413
- Fax
- (678) 838-2532
- NPI assigned
- Nov 21, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology Assistant
- Education
- Emory University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Piedmont Anesthesia LLC
Practice addresses (Care Compare)
1133 Eagles Landing Pkwy
Stockbridge, GA 30281-5085
Phone (800) 242-1131
Hospital & facility affiliations
- Piedmont Fayette Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031223000269 | GA | Practitioner - Anesthesiology Assistant | 1052219490 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Associate of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Anesthesia Associates, L.L.C | Current |
Accepting new patients | |
| Mak Anesthesia Holdings LLC | Current |
Accepting new patients | |
| New London Anesthesia & Pain Consultants PC | Anesthesiologist Assistant | Current |
Accepting new patients |
| Georgia Group Services, LLC | Current |
Accepting new patients | |
| Georgia Group Services, LLC | Current |
Accepting new patients | |
| Piedmont Anesthesia LLC | Current |
Accepting new patients | |
| Apollomd Group Services LLC | Past | Accepting new patients | |
| Radiology Atlanta Group | Past | Accepting new patients | |
| Metro West Anesthesia | Past | Accepting new patients |
Locations
1984 Peachtree Rd NW
Ste 515
Atlanta, GA 30309
Phone (404) 351-1754
3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752
2041 Mesa Valley Way
Ste 125
Austell, GA 30106
Phone (678) 309-8100
1255 Highway 54 W
Fayetteville, GA 30214
Phone (770) 719-6911
601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721
2550 Windy Hill Rd SE
Ste 218
Marietta, GA 30067
Phone (770) 933-1900
304 Turner McCall Blvd SW
Rome, GA 30165
Phone (706) 506-5000
5665 New Northside Dr
Sandy Springs, GA 30328
Phone (770) 874-5408
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 002716 | GA | |
| Anesthesiologist Assistant | 367H00000X | 002716 | GA | Yes |
Addresses
Primary practice location
8954 Hospital Drive
Douglasville, GA 30134
Mailing address
5665 New Northside Drive
Atlanta, GA 30328
Phone (770) 874-5400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 491431789A | Medicaid | GA | |
| 199727917A | Medicaid | GA |
Other providers in Douglasville, GA
- Marietta Eye Optical Inc
- Mark Lynn OD & Associates PC
- Priscilla Mark-Wilson
- Domonique Marseille
- Sandy Leeann Marshall Ray
- Yvette Yolanda Marston
- Amber Martin-Ross
- Chelsea Martin
- Martin'S Heart;S 2 Hearts Independent Care Agency
- Erin Martinez
All providers in Douglasville, GA · Anesthesiologist Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.