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BRENDALYNE FACIA TAMBA FNP
NPI 1053925107
Nurse Practitioner - Family in Winder, GA

Active since September 06, 2020PECOS EnrolledAccepts Medicare Assignment
361 RESOURCE PKWY, WINDER, GA 30680(770) 291-0419(240) 348-8500 Get Directions Write a Review

NPPES record last updated: January 13, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2021, Sep 6, 2020 (2 updates tracked since 2020).

About Brendalyne Facia Tamba Fnp NPPES

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

BRENDALYNE FACIA TAMBA FNP (NPI 1053925107) is an individual family provider in Winder, Georgia, licensed in Georgia (RN207407) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1053925107
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBRENDALYNE FACIA TAMBACredential: FNP
Location Address361 RESOURCE PKWYWinder, GA 30680-8364
Mailing Address595 Hurricane Shoals Rd Nw, Ste 100Lawrenceville, GA 30046-8762 · (404) 645-7150 · Fax (678) 433-9152
Phone(770) 291-0419
Fax(240) 348-8500
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 6, 2020
Last NPPES UpdateJanuary 13, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2021
✔ NPI 1053925107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN207407
361 RESOURCE PKWY, Winder, GA 30680
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Brendalyne Facia Tamba Fnp 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 ID2860806551
PECOS Enrollment IDI20210120001260
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 5

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.

Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
43 services27 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services33 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.
29 services28 patients
Home dialysis services per month (20 years or older) 90966
Home dialysis services provide kidney treatment for patients aged 20 or older right in their own homes. This service includes necessary equipment, supplies, and support for performing dialysis. It's a convenient option that allows patients to maintain their daily routines while receiving essential care.
23 services12 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30680 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.

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.

IVYDALE WELLNESS CENTER LLC
Community/Behavioral Health
361 RESOURCE PKWY
WINDER, GA 30680
Barrow County (770) 291-0419
IVYDALE WELLNESS CENTER LLC
Nurse Practitioner (Psychiatric/Mental Health)
361 RESOURCE PKWY
WINDER, GA 30680
Barrow County (770) 291-0419

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 Brendalyne Tamba's NPI number?

The NPI number for Brendalyne Tamba is 1053925107. It was assigned to this individual provider in the NPPES registry on September 6, 2020.

Where is Brendalyne Tamba located?

Brendalyne Tamba practices at 361 Resource Pkwy, Winder, GA 30680. The listed phone number is (770) 291-0419.

What is Brendalyne Tamba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Brendalyne Tamba enrolled in Medicare?

Yes. Brendalyne Tamba 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.

When was this NPI record last updated?

The NPPES record for Brendalyne Tamba was last updated on January 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.