TINA S. CHAVIS FNP, PMHNP
NPI 1053795435
Nurse Practitioner - Psychiatric/Mental Health in Atlanta, GA

Q: What is Tina Chavis's NPI number?

The NPI number for Tina Chavis is 1053795435. It was assigned to this individual provider in the NPPES registry on July 15, 2015.

Q: What is Tina Chavis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Tina Chavis was last updated on June 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 15, 2015PECOS EnrolledAccepts Medicare Assignment

PO BOX 748465, ATLANTA, GA 30374(855) 284-7483 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 11, 2025, Jun 3, 2025, May 12, 2021 and 2 more (5 updates tracked since 2017).

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About Tina S. Chavis Fnp, Pmhnp NPPES

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

TINA S. CHAVIS FNP, PMHNP (NPI 1053795435) is an individual psychiatric/mental health provider in Atlanta, Georgia, licensed in Indiana (71005603A) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1053795435

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTINA S. CHAVISCredential: FNP, PMHNP

Location AddressPO BOX 748465Atlanta, GA 30374-8465

Mailing Address3074 Dogwood LnRichmond, IN 47374-3531 · (765) 967-0466

Phone(855) 284-7483

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 15, 2015

Last NPPES UpdateJune 11, 20255 updates tracked since enumeration

NPPES CertifiedJune 3, 2025

✔ NPI 1053795435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71005603A

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 28184688A (IN)

Also ListedClinical Nurse Specialist · Psychiatric/Mental HealthTaxonomy 364SP0808X · License 71005603A (IN)

PO BOX 748465, Atlanta, GA 30374

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Other Identifiers 1

Other28184688AIN · Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Medica, Oscar Insurance Company and more.Insurance ›

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 S. Chavis Fnp, Pmhnp 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 ID2062727027

PECOS Enrollment IDI20250610002691

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30374 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Reported Quality Measures

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

7%46 patients1/55-star benchmark: 97%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

96%46 patients4/55-star benchmark: 100%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

4%46 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

LANIA SH'ARRON BROWN

Counselor (Professional)