TATIYANA LUKE APRN
NPI 1366119653
Nurse Practitioner - Family in Statesboro, GA

Active since August 25, 2021PECOS Enrolled
586 BRANNEN ST, STATESBORO, GA 30458(912) 871-6611 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 11, 2022, Jan 6, 2022, Aug 25, 2021 (3 updates tracked since 2021).

About Tatiyana Luke Aprn NPPES

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

TATIYANA LUKE APRN (NPI 1366119653) is an individual family provider in Statesboro, Georgia, licensed in Georgia (GAA-NP000384) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366119653
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTATIYANA LUKECredential: APRN
Location Address586 BRANNEN STStatesboro, GA 30458-5557
Mailing Address4001 Kresge Way Ste 236Louisville, KY 40207-4640
Sole ProprietorNo
Enumeration DateAugust 25, 2021
Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
NPI 1366119653 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
Licenses Licensed in GA · GAA-NP000384 Licensed in KY · 3016575
586 BRANNEN ST, Statesboro, GA 30458

Other Names 1

Former Name (1)Tatiyana Jennings

Secondary Practice Locations 2

Location 114089 Abercorn StSavannah, GA 31419-1966 · Phone (912) 777-6161 · Fax (912) 436-6463
Location 2105 Grand Central Blvd Ste 108Pooler, GA 31322-4148 · Phone (912) 748-1515 · Fax (912) 748-7707

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tatiyana Luke Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30458 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
586 BRANNEN ST
STATESBORO, GA 30458
Clinic/Center (Urgent Care)
586 BRANNEN ST
STATESBORO, GA 30458
Nurse Practitioner (Family)
586 BRANNEN ST
STATESBORO, GA 30458
Nurse Practitioner (Family)
586 BRANNEN ST
STATESBORO, GA 30458
Physician Assistant (Medical)
586 BRANNEN ST
STATESBORO, GA 30458

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 Tatiyana Luke's NPI number?

The NPI number for Tatiyana Luke is 1366119653. It was assigned to this individual provider in the NPPES registry on August 25, 2021. The provider is also known as Tatiyana Jennings.

Where is Tatiyana Luke located?

Tatiyana Luke practices at 586 Brannen St, Statesboro, GA 30458. The listed phone number is (912) 871-6611.

What is Tatiyana Luke's specialty?

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

Is Tatiyana Luke enrolled in Medicare?

Yes. Tatiyana Luke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tatiyana Luke was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.