Healthier You Primary Care
Organization Active NPI Family Nurse Practitioner · Williamson, GA
NPI 1982478293 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1982478293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- HEALTHIER YOU PRIMARY CARE
- Practice address
- 6758 Highway 362 W Ste a
Williamson, GA 30292-3397 - Phone
- (470) 980-7520
- Fax
- (770) 762-9409
- NPI assigned
- Nov 8, 2023
- Organization subpart
- No
Authorized official
- Name
- Jodi Tallman, APRN
- Title
- Family Nurse Practitioner
- Phone
- (470) 980-7520
Practitioners 1
-
Jodi Tallman, NP
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20231211002392 | GA | Part B Supplier - Clinic/Group Practice | 8820447220 |
Receives reassigned benefits from 1 practitioner Practice locations: Williamson, GA |
National Provider Directory
Locations
623 Thomaston St
Zebulon, GA 30295
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
6758 Highway 362 W Ste a
Williamson, GA 30292-3397
Mailing address
6758 Highway 362 W Ste a
Williamson, GA 30292-3397
Phone (470) 980-7520
Other providers in Williamson, GA
- Cathryn Whitney Buck
- Chiquita Rakell Casmere
- John Childree
- Diamond Years Home Care Inc
- Michael Douglas Goldstein
- Tressie Hopkins
- Audra Huffstetler
- Duel Lee
- Rachael Bray Mark
- Kaylee Miller
All providers in Williamson, 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 Nov 27, 2024. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.