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

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: November 08, 2026.

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tara Li reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Bortolazzo Group, LLC
0.2 mi
Emergency Medicine
3950 AUSTELL RD
Austell, GA 30106
  • Reassigned Medicare billing, Georgia enrollment
  • 353 clinicians in this Medicare group
NPI 1801965082 (770) 732-4000
Emergency Care Of Atlanta Inc
15 mi
Emergency Medicine
5665 PEACHTREE DUNWOODY RD NE, ST JOSEPHS HOSPITAL OF ATLANTA
Atlanta, GA 30342
  • Reassigned Medicare billing, Georgia enrollment
  • 35 clinicians in this Medicare group
NPI 1093770091 (404) 851-7294

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 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
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MAGGI STUART MARKWELL
Anesthesiologist Assistant
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
MUHAMMAD NAJEEB MBBS
Student in an Organized Health Care Education/Training Program
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 267-2000
SEGEN MEDICAL GROUP, P.C.
Internal Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 939-3301
DR. KATHRYN SHIPP RHYNE MD
Pediatrics
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (470) 732-4415
DR. YOUSEF HINDI MD
Hospitalist
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4025
MICHELLE PRESLEY
Emergency Medicine
3950 AUSTELL RD
AUSTELL, GA 30106
Cobb County (770) 732-4000
DR. MANU MALEPATI M.D.
Hospitalist
3950 AUSTELL RD, BOX 22
AUSTELL, GA 30106
Cobb County (470) 732-4022

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 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.

Where is Tara Li located?

Tara Li practices at 3950 Austell Rd, Austell, GA 30106. The listed phone number is (770) 732-4000.

What is Tara Li's specialty?

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

Is Tara Li enrolled in Medicare?

Yes. Tara Li 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 Tara Li's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Li reassigns Medicare benefits to 2 organizations: The Bortolazzo Group, LLC (Austell, GA) and Emergency Care Of Atlanta Inc (Atlanta, GA). 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 Tara Li's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Li accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tara Li 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 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 15 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.