Active NPI
Evelyn Lema Tankoh, MRN, APRN, AGNP-BC
- Adult Health Nurse Practitioner
- Jonesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- RN118032
- Practice address
- 7130 Mount Zion Blvd Ste 14B
Jonesboro, GA 30236-2566 - Phone
- (770) 585-2384
- Fax
- (470) 288-0223
- NPI assigned
- Nov 11, 2020
- Last updated
- Sep 19, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN118032 | GA | |
| Gerontology Registered Nurse | 163WG0600X | RN118032 | GA | |
| Adult Health Nurse Practitioner | 363LA2200X | RN118032 | GA | Primary |
Addresses
Primary practice location
7130 Mount Zion Blvd Ste 14B
Jonesboro, GA 30236-2566
Mailing address
1975 Highway 54 W Ste 205
Peachtree City, GA 30269-4794
Phone (770) 585-2384
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7130 Mount Zion Blvd
Suite 14B
Jonesboro, GA 30236-2566
Phone (770) 525-2384
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN118032 | GA | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Restorative Medicine | Current | Accepting new patients | |
| Healthcare at Home LLC | Current | Accepting new patients | |
| Gainesville Foot and Ankle Surgery Center, PC | Past | Accepting new patients |
Locations
1380 Milstead Ave NE
Ste B
Conyers, GA 30012
Phone (770) 483-1100
5040 Snapfinger Woods Dr
Ste 104
Decatur, GA 30035
Phone (678) 777-7165
5243 Snapfinger Woods Dr
Ste 104
Decatur, GA 30035
Phone (404) 465-1933
7130 Mount Zion Blvd
Ste 14B
Jonesboro, GA 30236
Phone (770) 525-2384
1975 Highway 54 W
Ste 200B
Peachtree City, GA 30269
Phone (770) 585-2384
1975 Highway 54 W
Ste 200
Peachtree Cty, GA 30269
Phone (404) 768-3668
1975 Highway 54 W
Ste 205
Peachtree Cty, GA 30269
Phone (678) 561-9000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Limb Preservation Center
- Vascular Surgery Physician
- Jonesboro, GA
- NPI 1851084313
-
- Family Nurse Practitioner
- Decatur, GA
- NPI 1174057194
-
- Ambulatory Surgical Clinic/Center
- Gainesville, GA
- NPI 1376614826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1922600279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1975 HIGHWAY 54 W STE 205",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302694794",
"telephone_number": "770-585-2384",
"fax_number": "470-288-0223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7130 MOUNT ZION BLVD STE 14B",
"city": "JONESBORO",
"state": "GA",
"postal_code": "302362566",
"telephone_number": "770-585-2384",
"fax_number": "470-288-0223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANKOH",
"first_name": "EVELYN",
"middle_name": "LEMA",
"credential": "MRN, APRN, AGNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "GA",
"license": "RN118032",
"primary": false
},
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "GA",
"license": "RN118032",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "GA",
"license": "RN118032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; 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.