Individual provider Active NPI

Tamaria Dunn, FNP-C

  • Family Nurse Practitioner
  • Ellenwood, GA
National Provider Identifier
1992108328
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN181866 Issued in GA
Practice address
211 Fairview Rd
Ellenwood, GA 30294-2721
Phone
(678) 289-6747
Fax
(678) 289-6750
NPI assigned
Sep 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN181866 GA Primary

Addresses

Primary practice location

211 Fairview Rd
Ellenwood, GA 30294-2721

Mailing address

211 Fairview Rd
Ellenwood, GA 30294-2721
Phone (678) 289-6747

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150224000251 GA Practitioner - Nurse Practitioner 3173849890 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aylo Health, LLCGroup PAC ID 8022901925, 112 clinicians

Practice addresses (Care Compare)

1058 Bear Creek Blvd
Hampton, GA 30228-1849
Phone (770) 914-0116

1100 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

1108 Hospital Dr
Stockbridge, GA 30281-6381
Phone (770) 914-0116

145 Eagles Walk
Suite a
Stockbridge, GA 30281-7340
Phone (770) 914-0116

1502 W 3Rd St
Suite a
Jackson, GA 30233-1979
Phone (770) 914-0116

211 Fairview Rd
Ellenwood, GA 30294-2721
Phone (770) 914-0116

2200 Hwy 155 N
McDonough, GA 30252-4846
Phone (770) 914-0116

3758 Hwy 42
Locust Grove, GA 30248-3653
Phone (770) 914-0116

3758 Hwy 42 S
Locust Grove, GA 30248-3653
Phone (770) 914-0116

50 Kelly Rd
Suite 200
McDonough, GA 30253-6097
Phone (770) 914-0116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN181866GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aylo Health, LLC CurrentSince Oct 13, 2014 Accepting new patients
Aylo Health, LLC CurrentSince Oct 13, 2014 Accepting new patients
Aylo Health, LLC Current Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients
Aylo Health, LLC Past Accepting new patients

Locations

211 Fairview Rd
Ellenwood, GA 30294
Phone (678) 289-6747

2330 Patrick Henry Pkwy
Ste 200
McDonough, GA 30253

145 Eagles Walk
Ste A
Stockbridge, GA 30281
Phone (770) 389-3855

Interoperability endpoints

  • Direct secure messaging: tamaria.dunn@elfp.eclinicaldirectplus.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1992108328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 FAIRVIEW RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942721",
            "telephone_number": "678-289-6747",
            "fax_number": "678-289-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 FAIRVIEW RD",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942721",
            "telephone_number": "678-289-6747",
            "fax_number": "678-289-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "TAMARIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-30",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN181866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

Verify at the official NPI Registry.