TONYA GIPSON ARNP
NPI 1154750545
Nurse Practitioner - Primary Care in Canton, GA
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
Specialties & Licenses
Accepted 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
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.
Medicare Billing Reassignments
2Medicare enrollment records show Tonya Gipson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 783 clinicians in this Medicare group
Nashville, TN 37219
- Reassigned Medicare billing, Georgia and Kentucky enrollments
- 274 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 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.
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.
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.
CANTON, GA 30115
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.
Which organizations bill Medicare for Tonya Gipson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tonya Gipson reassigns Medicare benefits to 2 organizations: North Atlanta Professional Services LLC (Atlanta, GA) and Community Care Health Network LLC (Nashville, TN). 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 Tonya Gipson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 12 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.
# Tonya Gipson, ARNP · NPI 1154750545
Primary Care physician in Canton, Georgia. Individual provider, active in the CMS NPPES registry since November 6, 2013.
## Identity
- **NPI:** 1154750545 (Entity type: Individual)
- **Enumerated:** November 6, 2013
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** RN225872 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115-8015
- **Phone:** (770) 224-1238
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): North Atlanta Professional Services LLC (NPI 1316959869, Atlanta, GA); Community Care Health Network LLC (NPI 1619368842, Nashville, TN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154750545) · Data from the CMS NPPES public registry.