Individual provider Active NPI

Tina Marie Hale, N.P.

  • Nurse Practitioner
  • Athens, GA
National Provider Identifier
1922355239
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN086905 Issued in GA
Practice address
1500 Oglethorpe Ave
Suite 2000
Athens, GA 30606-2179
Phone
(706) 543-6261
Fax
(706) 543-7060
NPI assigned
Aug 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN086905 GA Primary

Addresses

Primary practice location

1500 Oglethorpe Ave
Suite 2000
Athens, GA 30606-2179

Mailing address

1500 Oglethorpe Ave
Suite 2000
Athens, GA 30606-2179
Phone (706) 543-6261

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130320000279 GA Practitioner - Nurse Practitioner 3779728860 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Group of Athens, P.C.Group PAC ID 1759376239, 6 clinicians

Practice addresses (Care Compare)

2317 Prince Ave
Athens, GA 30606-6030
Phone (706) 543-6261

Merit-based Incentive Payment System (MIPS)

Final score
93.89 of 100Reported as group
Quality
91.49
Improvement activities
40
Cost
90.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Group of Athens, P.C. CurrentSince Dec 22, 2012 Accepting new patients
Urology Surgical Solutions, LLC PastSince Feb 9, 2025 Accepting new patients

Locations

2317 Prince Ave
Athens, GA 30606
Phone (706) 543-6261

1500 Oglethorpe Ave
Ste 2000
Athens, GA 30606
Phone (706) 548-5488

195 King Ave
Athens, GA 30606
Phone (706) 543-6261

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.794
  • Direct secure messaging: thale2018097@direct.trinity-health.org
  • Direct secure messaging: thale@ugofa.gwaydirect.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1922355239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 2000",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-543-6261",
            "fax_number": "706-543-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 OGLETHORPE AVE",
            "address_2": "SUITE 2000",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062179",
            "telephone_number": "706-543-6261",
            "fax_number": "706-543-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALE",
        "first_name": "TINA",
        "middle_name": "MARIE",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-07",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN086905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.