1. Home
  2. Directory
  3. Georgia
  4. Atlanta
  5. Nurse Practitioner
  6. NPI Profile

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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Other Identifiers 1

Other28184688AIN · Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Group Health Cooperative-SCW and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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 IDI20150819009165, I20250610002691, I20250910000081, I20260702002216
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Tina Chavis reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

State Of Indiana Auditor Of State
331 mi
Psychiatric Hospital
3400 LINCOLN AVENUE
Evansville, IN 47714
  • Reassigned Medicare billing, Indiana enrollment
  • 112 clinicians in this Medicare group
NPI 1235250788 (812) 469-6800
Fayette Bhc LLC
404 mi
Mental Health (Including Community Mental Health Center)
3013 VIRGINIA AVE
Connersville, IN 47331
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1669254546 (765) 827-8022
Thriveworks Telepsychiatry - Indiana PC
419 mi
Mental Health
429 N PENNSYLVANIA ST STE 111
Indianapolis, IN 46204
  • Reassigned Medicare billing, Indiana enrollment
  • 6 clinicians in this Medicare group
NPI 1881304418 (855) 284-7483
Broadlawns Medical Center
734 mi
General Acute Care Hospital
1801 HICKMAN RD
Des Moines, IA 50314
  • Reassigned Medicare billing, Iowa enrollment
  • 518 clinicians in this Medicare group
NPI 1467447508 (515) 282-2200
Evizzit Of Iowa Psychiatry PC
737 mi
Adult Mental Health
1501 42ND ST STE 120
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa, North Dakota and Wisconsin enrollments
  • Also billed through NPI 1740841188 (Wisconsin)
  • 61 clinicians in this Medicare group
NPI 1679233183 (855) 270-3625
Black River Health Inc
798 mi
Medicare Defined Swing Bed Unit
711 W ADAMS ST
Black River Falls, WI 54615
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1811940331 (Wisconsin)
  • 227 clinicians in this Medicare group
NPI 1003914011 (715) 284-5361

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
PO BOX 748465
ATLANTA, GA 30374
Cobb County (855) 284-7483
MAITE REECE MA, PSYD
Psychologist
PO BOX 748465
ATLANTA, GA 30374
Cobb County (855) 284-7483
JOSETTE M SMITH LCSW
Social Worker (Clinical)
PO BOX 748465
ATLANTA, GA 30374
Cobb County (855) 284-7483
MR. THOMAS J SOWERS LCSW
Social Worker (Clinical)
PO BOX 748465
ATLANTA, GA 30374
Cobb County (855) 284-7483
JENNIFER LEVITO MS
Counselor (Professional)
PO BOX 748465
ATLANTA, GA 30374
Cobb County (855) 284-7483
ZARISA N. WATKINS MA, LPC, NCC
Counselor (Professional)
PO BOX 748465
ATLANTA, GA 30374
Cobb County (855) 284-7483
MAX MARRONE
Marriage & Family Therapist
PO BOX 748465
ATLANTA, GA 30374
Cobb County (855) 284-7483
BRANIK PALMER-FINLEY
Social Worker (Clinical)
PO BOX 748465
ATLANTA, GA 30374
Cobb County (425) 420-0111

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 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.

Where is Tina Chavis located?

Tina Chavis practices at PO Box 748465, Atlanta, GA 30374. The listed phone number is (855) 284-7483.

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.

Is Tina Chavis enrolled in Medicare?

Yes. Tina Chavis 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.

Which organizations bill Medicare for Tina Chavis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Chavis reassigns Medicare benefits to 6 organizations: State Of Indiana Auditor Of State (Evansville, IN), Fayette Bhc LLC (Connersville, IN), Thriveworks Telepsychiatry - Indiana PC (Indianapolis, IN), Broadlawns Medical Center (Des Moines, IA), Evizzit Of Iowa Psychiatry PC (West Des Moines, IA) and 1 more organization, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tina Chavis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Chavis accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, Group Health Cooperative-SCW, Oscar Health and Oscar Insurance Company and 3 other insurers list Tina Chavis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 16 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.