TIANNA COSIMA CROOKS NP
NPI 1093509028
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA
About Tianna Cosima Crooks Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIANNA COSIMA CROOKS NP (NPI 1093509028) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in Georgia (RN264565) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tianna Cosima Crooks Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tianna Crooks reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fayetteville, GA 30215
- Reassigned Medicare billing, Georgia enrollment
- 4 clinicians in this Medicare group
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 30215 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FAYETTEVILLE, GA 30215
FAYETTEVILLE, GA 30215
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 Tianna Crooks's NPI number?
The NPI number for Tianna Crooks is 1093509028. It was assigned to this individual provider in the NPPES registry on April 7, 2025.
Where is Tianna Crooks located?
Tianna Crooks practices at 135 Bradford Sq Ste B, Fayetteville, GA 30215. The listed phone number is (470) 646-3738.
What is Tianna Crooks's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Tianna Crooks enrolled in Medicare?
Yes. Tianna Crooks is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tianna Crooks's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tianna Crooks reassigns Medicare benefits to Mindset Healthcare, PC (Fayetteville, GA). The 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 Tianna Crooks's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tianna Crooks was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Tianna Cosima Crooks, NP · NPI 1093509028
Psychiatric/Mental Health physician in Fayetteville, Georgia. Individual provider, active in the CMS NPPES registry since April 7, 2025.
## Identity
- **NPI:** 1093509028 (Entity type: Individual)
- **Enumerated:** April 7, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** RN264565 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 135 BRADFORD SQ STE B, Fayetteville, GA 30215-1902
- **Phone:** (470) 646-3738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Mindset Healthcare, PC (NPI 1285119925, Fayetteville, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093509028) · Data from the CMS NPPES public registry.