Individual provider Active NPI

Tianyi Li, MD

  • Emergency Medicine Physician
  • Marietta, GA
National Provider Identifier
1982353132
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
102119 Issued in GA
Practice address
677 Church St NE
Marietta, GA 30060-1101
Phone
(318) 210-8728
NPI assigned
Mar 23, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 102119 GA Primary

Addresses

Primary practice location

677 Church St NE
Marietta, GA 30060-1101

Mailing address

677 Church St NE
Marietta, GA 30060-1101
Phone (318) 210-8728

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250115001256 GA Practitioner - Emergency Medicine 2466832910 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Medical College of Georgia School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Fulton Emergency Physicians, LLCGroup PAC ID 6800981986, 13 clinicians
The Bortolazzo Group, LLCGroup PAC ID 3476554320, 98 clinicians

Practice addresses (Care Compare)

1601 Watson Blvd
Warner Robins, GA 31093-3431
Phone (478) 922-4281

3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2555

3950 Austell Rd
Austell, GA 30106-1121
Phone (770) 732-4000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102119GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Relymd Virtual Health Regional, PC Emergency Medicine CurrentSince May 21, 2025 Accepting new patients
North Fulton Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 5, 2025 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Feb 5, 2025 Accepting new patients
Heritage Physician Services, LLC Emergency Medicine CurrentSince Feb 5, 2025 Accepting new patients
Georgia Emergency Group, LLC Emergency Medicine CurrentSince Feb 5, 2025 Accepting new patients
Emergency Group of Columbus, LLC Emergency Medicine CurrentSince Feb 5, 2025 Accepting new patients
Relymd Virtual Health Ga, LLC Emergency Medicine CurrentSince Dec 1, 2024 Accepting new patients
Relymd Virtual Health TX, PA Emergency Medicine CurrentSince Nov 19, 2025 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 5, 2025 Accepting new patients
Houston County Emergency Group, LLC Emergency Medicine CurrentSince Feb 2, 2020 Accepting new patients
Relymd Virtual Health Ca, PC Emergency Medicine CurrentSince Sep 29, 2025 Accepting new patients
Lagrange Emergency Physicians, LLC Emergency Medicine CurrentSince Feb 5, 2025 Accepting new patients

Locations

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

8954 Hospital Dr
Douglasville, GA 30134
Phone (678) 838-2584

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

1050 McDonough Rd
Jackson, GA 30233
Phone (770) 775-7861

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

677 Church St NE
Marietta, GA 30060
Phone (770) 793-5435

1120 Morningside Dr
Perry, GA 31069
Phone (478) 218-1706

3000 Hospital Blvd
Roswell, GA 30076
Phone (770) 751-2500

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

1601 Watson Blvd
Warner Robins, GA 31093
Phone (478) 322-5155

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 3

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": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1982353132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "318-210-8728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 CHURCH ST NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601101",
            "telephone_number": "318-210-8728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LI",
        "first_name": "TIANYI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-23",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "102119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

Verify at the official NPI Registry.