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TINA L. HATHAWAY
NPI 1023529914
Nurse Practitioner - Adult Health in Statesboro, GA

Active since October 18, 2017PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
114 HILL POND LN, STATESBORO, GA 30458(912) 681-6944(912) 681-8744 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2026, Jul 21, 2022, Sep 17, 2020 and 2 more (5 updates tracked since 2017).

About Tina L. Hathaway NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA L. HATHAWAY (NPI 1023529914) is an individual adult health provider in Statesboro, Georgia, licensed in Georgia (RN165131) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS, is affiliated with East Georgia Regional Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1023529914
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTINA L. HATHAWAY
Location Address114 HILL POND LNStatesboro, GA 30458-0872
Mailing Address114 Hill Pond LnStatesboro, GA 30458-0872 · (912) 681-6944 · Fax (912) 681-8744
Phone(912) 681-6944
Fax(912) 681-8744
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 18, 2017
Last NPPES UpdateFebruary 3, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1023529914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in GA · RN165131
114 HILL POND LN, Statesboro, GA 30458
Open in Google Maps ↗

Other Identifiers 2

OtherRN165131GA · Nursing License
OtherRN165131GA · Nurse Practitioner

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tina L. Hathaway is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355604174
PECOS Enrollment IDI20180409002444
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
178 services145 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
124 services100 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

East Georgia Regional Medical Center

Acute Care Hospitals · Statesboro, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110075
Location1499 Fair RoadStatesboro, GA 30458 · Bulloch County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30458 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GASTROENTEROLOGY INSTITUTE, PC
Internal Medicine (Gastroenterology)
114 HILL POND LN
STATESBORO, GA 30458
Bulloch County (912) 681-6944
KAREN MCNEELY BSN NP
Nurse Practitioner
114 HILL POND LN
STATESBORO, GA 30458
Bulloch County (912) 681-6944

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tina Hathaway's NPI number?

The NPI number for Tina Hathaway is 1023529914. It was assigned to this individual provider in the NPPES registry on October 18, 2017.

Where is Tina Hathaway located?

Tina Hathaway practices at 114 Hill Pond Ln, Statesboro, GA 30458. The listed phone number is (912) 681-6944.

What is Tina Hathaway's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tina Hathaway enrolled in Medicare?

Yes. Tina Hathaway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tina Hathaway affiliated with any hospitals?

According to CMS data, Tina Hathaway is affiliated with East Georgia Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Tina Hathaway was last updated on February 3, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.