Tamara G Spann, NP
Individual provider Active NPI Family Nurse Practitioner · Colquitt, GA
NPI 1972224624 · NPPES record last updated May 18, 2023
Key facts
- NPI
- 1972224624
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- RN181161 (GA)
- Practice address
- 208 N Cuthbert St
Colquitt, GA 39837-3517 - Phone
- (229) 758-3304
- Fax
- (229) 758-6622
- NPI assigned
- Sep 9, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221101002469 | GA | Practitioner - Nurse Practitioner | 4981071123 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Hospital Authority of Miller County | Current | Accepting new patients | |
| The Hospital Authority of Miller County | Current |
Accepting new patients | |
| The Hospital Authority of Miller County | Current | Accepting new patients | |
| The Hospital Authority of Miller County | Current |
Accepting new patients | |
| The Hospital Authority of Miller County | Current | Accepting new patients | |
| The Hospital Authority of Miller County | Past | Accepting new patients |
Locations
209 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3385
302 Grace St
Colquitt, GA 39837
Phone (229) 758-5932
208 N Cuthbert St
Colquitt, GA 39837
Phone (229) 758-3304
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN181161 | GA | Yes |
Addresses
Primary practice location
208 N Cuthbert St
Colquitt, GA 39837-3517
Mailing address
209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-3385
Other practice location 1
265 E. Turner Street
dba Calhoun Nursing Home
Edison, GA 39846-6039
Phone (229) 835-2251
Other practice location 2
103 Re Jennings Ave SE
dba Jennings Medical Clinic
Arlington, GA 39813-8725
Phone (229) 725-4251
Other practice location 3
dba Miller Specialty Clinic
302 Grace Street
Colquitt, GA 39837-3513
Phone (229) 758-5932
Other practice location 4
209 N Cuthbert Street
dba Miller Nursing Home
Colquitt, GA 39837-3518
Phone (229) 758-3385
Other practice location 5
209 N Cuthbert St
Colquitt, GA 39837-3518
Phone (229) 758-3385
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN181161 | Other | GA | RN LICENSE |
Other providers in Colquitt, GA
- Ansley Poague
- Roy Richard Reardon
- Rxdirect
- Amy Askew Sanderson
- Rebecca Ellen Saunders
- Lisa Ann Swofford
- William Swofford
- Mary Elizabeth Sykes
- Jessica Temples
- The Hospital Authority of Miller County
All providers in Colquitt, GA · Family Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2023. 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.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.