Tennet LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

TENNET LLC

Practice address

1618 Mars Hill Rd Ste B
Watkinsville, GA 30677-4847

Phone

(706) 705-4543

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

David R Sprayberry, MDNPI 1447275805

Title

Ceo

Phone

(706) 705-4543

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Prime Time Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David R Sprayberry, MD

  • Pediatrics Physician
  • Watkinsville, GA
  • NPI 1447275805
  NPD (past) Authorized official
• Casey Skye Beck, CPNP-PC, PMHS

  • Pediatric Nurse Practitioner
  • Atlanta, GA
  • NPI 1831558451
  NPD (past)
• Breana Berry Miller, M.D.

  • Pediatrics Physician
  • Watkinsville, GA
  • NPI 1033537881
  NPD (past)

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1972149169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1618 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774847",
            "telephone_number": "706-705-4543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1618 MARS HILL RD STE B",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306774847",
            "telephone_number": "706-705-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENNET LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "SPRAYBERRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-705-4543",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1447275805",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime Time Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Weldon Tatum
• Eden Taylor, MS, BCBA
• Hannah Elizabeth Taylor, DPT
• Rorie Taylor, RBT
• Stephanie Taylor, RBT
• Kellie Thaxton
• The Foot and Ankle Treatment Center LLC
• Therapy South - Watkinsville LLC
• Therapylink
• Chaquita Thomas, CRNP

• Pediatrics Physician in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.

Verify at the official NPI Registry.