TARA LI FNP-C
NPI 1255214060
Nurse Practitioner - Family in Austell, GA

Q: What is Tara Li's NPI number?

The NPI number for Tara Li is 1255214060. It was assigned to this individual provider in the NPPES registry on July 29, 2025.

Q: What is Tara Li's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tara Li was last updated on July 29, 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.

Active since July 29, 2025PECOS EnrolledAccepts Medicare Assignment

3950 AUSTELL RD, AUSTELL, GA 30106(770) 732-4000 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Tara Li Fnp-c NPPES

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

TARA LI FNP-C (NPI 1255214060) is an individual family provider in Austell, Georgia, licensed in Georgia (RN300031) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1255214060

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTARA LICredential: FNP-C

Location Address3950 AUSTELL RDAustell, GA 30106-1121

Mailing Address3950 Austell RdAustell, GA 30106-1121

Phone(770) 732-4000

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJuly 29, 2025

NPPES CertifiedJuly 29, 2025

✔ NPI 1255214060 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 · RN300031

3950 AUSTELL RD, Austell, GA 30106

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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

Tara Li Fnp-c 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 ID5799274932

PECOS Enrollment IDI20251029000615

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 30106 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.

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.

MRS. JOLI ANN WILSON D.O.

Pediatrics