Individual provider Active NPI

Tatyana Y. Sklyar, M.D.

  • Hematology & Oncology Physician
  • Macon, GA
National Provider Identifier
1962790550
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
077786 Issued in GA
Practice address
308 Coliseum Dr Ste 120
Macon, GA 31217-3859
Phone
(478) 745-6130
Fax
(478) 745-4443
NPI assigned
Jul 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT198361 PA
Hematology & Oncology Physician 207RH0003X 077786 GA Primary

Addresses

Primary practice location

308 Coliseum Dr Ste 120
Macon, GA 31217-3859

Mailing address

1835 Savoy Dr Ste 300
Atlanta, GA 30341-1071
Phone (478) 745-6130

Other identifiers 3

IdentifierTypeStateIssuer
202I839371OtherGAMEDICARE PTAN
003190804CMedicaidGA
003190804BMedicaidGA

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tatyana.sklyar.p1@direct.gacancer.nextgenshare.com Direct
Direct Messaging Address tatyana.sklyar.p1@direct.gacancer.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170629001451 GA Practitioner - Hematology/Oncology 8224279484 Reassigns benefits to 1 organization
I20260611003110 AL Practitioner - Medical OncologyPractitioner - Hematology/Oncology 8224279484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2501 Village Professional Dr
Opelika, AL 36801-2381
Phone (334) 528-1070

308 Coliseum Dr
Suite 120
Macon, GA 31217-3859
Phone (478) 745-6130

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
71.19 of 100Reported as group
Quality
69.24
Improvement activities
40
Cost
51.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT198361PAMDInternal Medicine Physician
077786GAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology CurrentSince Jul 3, 2017 Accepting new patients
NSH Cancer Institute Professional Services G LLC CurrentSince Jul 3, 2017 Accepting new patients
Northside Imaging LLC Past Accepting new patients
NSH Cancer Institute Professional Services G, LLC Hematology & Oncology Past Accepting new patients

Locations

1835 Savoy Dr
Ste 300
Atlanta, GA 30341
Phone (678) 288-9555

214 Perry Hwy
Hawkinsville, GA 31036
Phone (478) 783-4022

308 Coliseum Dr
Ste 120
Macon, GA 31217
Phone (478) 745-6130

111 Fieldstone Dr
Ste 116
Milledgeville, GA 31061
Phone (478) 453-1806

1045 Southcrest Dr
Ste 200
Stockbridge, GA 30281
Phone (678) 289-0549

Interoperability endpoints

  • Direct secure messaging: tatyana.sklyar.p1@direct.gacancer.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1310774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1962790550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 SAVOY DR STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411071",
            "telephone_number": "478-745-6130",
            "fax_number": "478-745-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 COLISEUM DR STE 120",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312173859",
            "telephone_number": "478-745-6130",
            "fax_number": "478-745-4443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLYAR",
        "first_name": "TATYANA",
        "middle_name": "Y.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-16",
        "last_updated": "2020-09-01",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT198361",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "GA",
            "license": "077786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "202I839371",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003190804C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003190804B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tatyana.sklyar.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "308 Coliseum Dr Ste 120",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312173859",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tatyana.sklyar.p1@direct.gacancer.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Edge",
            "address_1": "308 Coliseum Dr Ste 120",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312173859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.