TAMIKA BLUE FNP-BC
NPI 1316796816
Family Medicine - Adult Medicine in Jonesboro, GA
About Tamika Blue Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMIKA BLUE FNP-BC (NPI 1316796816) is an individual adult medicine provider in Jonesboro, Georgia, licensed in Georgia (RN274512) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses 2
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
Tamika Blue Fnp-bc 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 Reassignment
Medicare enrollment records show Tamika Blue reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30305
- Reassigned Medicare billing, Georgia enrollment
- 1,389 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 30236 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JONESBORO, GA 30236
JONESBORO, GA 30236
JONESBORO, GA 30236
JONESBORO, GA 30236
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 Tamika Blue's NPI number?
The NPI number for Tamika Blue is 1316796816. It was assigned to this individual provider in the NPPES registry on May 16, 2024.
Where is Tamika Blue located?
Tamika Blue practices at 2400 Mount Zion Pkwy, Jonesboro, GA 30236. The listed phone number is (404) 365-0966.
What is Tamika Blue's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Is Tamika Blue enrolled in Medicare?
Yes. Tamika Blue 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 organization bills Medicare for Tamika Blue's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tamika Blue reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, 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 Tamika Blue'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 Tamika Blue was last updated on October 9, 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.
# Tamika Blue, FNP-BC · NPI 1316796816
Adult Medicine physician in Jonesboro, Georgia. Individual provider, active in the CMS NPPES registry since May 16, 2024.
## Identity
- **NPI:** 1316796816 (Entity type: Individual)
- **Enumerated:** May 16, 2024
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **State license:** RN274512 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2400 MOUNT ZION PKWY, Jonesboro, GA 30236-2500
- **Phone:** (404) 365-0966
## 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:** The Southeast Permanente Medical Group (NPI 1245266956, Atlanta, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** October 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1316796816) · Data from the CMS NPPES public registry.