TONYA GIPSON ARNP
NPI 1154750545
Nurse Practitioner - Primary Care in Canton, GA

Active since November 06, 2013PECOS EnrolledAccepts Medicare Assignment
450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1238 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017 (2 updates tracked since 2017).

About Tonya Gipson Arnp NPPES

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

TONYA GIPSON ARNP (NPI 1154750545) is an individual primary care provider in Canton, Georgia, licensed in Georgia (RN225872) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1154750545
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameTONYA GIPSONCredential: ARNP
Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015
Mailing Address450 Northside Cherokee BlvdCanton, GA 30115-8015 · (770) 224-1238
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 6, 2013
Last NPPES UpdateOctober 16, 20252 updates tracked since enumeration
NPPES CertifiedOctober 16, 2025
NPI 1154750545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses Licensed in GA · RN225872 Licensed in GA · 225872
450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115

Accepted 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

Tonya Gipson Arnp 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 ID6002043320
PECOS Enrollment IDI20251104002319
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 30115 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers39 claims39 services$16.04 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers49 claims49 services$74.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Anesthesiologist Assistant
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Internal Medicine (Interventional Cardiology)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Registered Nurse (Critical Care Medicine)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Dietitian, Registered
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Pharmacist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Pediatrics (Neonatal-Perinatal Medicine)
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Hospitalist
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115
Obstetrics & Gynecology
450 NORTHSIDE CHEROKEE BLVD
CANTON, GA 30115

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 Tonya Gipson's NPI number?

The NPI number for Tonya Gipson is 1154750545. It was assigned to this individual provider in the NPPES registry on November 6, 2013.

Where is Tonya Gipson located?

Tonya Gipson practices at 450 Northside Cherokee Blvd, Canton, GA 30115. The listed phone number is (770) 224-1238.

What is Tonya Gipson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Tonya Gipson enrolled in Medicare?

Yes. Tonya Gipson 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.

What insurance does Tonya Gipson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tonya Gipson 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 Tonya Gipson was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.