MARSHET TENAW
NPI 1366158669
Nurse Practitioner - Family in Stone Mountain, GA
About Marshet Tenaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARSHET TENAW (NPI 1366158669) is an individual family provider in Stone Mountain, Georgia, licensed in Georgia (RN216626) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Norcross.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marshet Tenaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Marshet Tenaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Decatur, GA 30030
- Reassigned Medicare billing, Georgia enrollment
- 35 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Georgia enrollment
- 488 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30083 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONE MOUNTAIN, GA 30083
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 Marshet Tenaw's NPI number?
The NPI number for Marshet Tenaw is 1366158669. It was assigned to this individual provider in the NPPES registry on January 30, 2023. The provider is also known as Lilly Tenaw.
Where is Marshet Tenaw located?
Marshet Tenaw practices at 4958 Memorial Dr, Stone Mountain, GA 30083. The listed phone number is (404) 809-2480.
What is Marshet Tenaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marshet Tenaw enrolled in Medicare?
Yes. Marshet Tenaw is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Marshet Tenaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marshet Tenaw reassigns Medicare benefits to 2 organizations: Georgia Nephrology, LLC (Decatur, GA) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Marshet Tenaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marshet Tenaw accept?
Health plans from Ambetter Health list Marshet Tenaw 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 Marshet Tenaw was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Marshet Tenaw · NPI 1366158669
Family physician in Stone Mountain, Georgia. Individual provider, active in the CMS NPPES registry since January 30, 2023.
## Identity
- **NPI:** 1366158669 (Entity type: Individual)
- **Enumerated:** January 30, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN216626 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4958 MEMORIAL DR, Stone Mountain, GA 30083-4148
- **Phone:** (404) 809-2480
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **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): Georgia Nephrology, LLC (NPI 1063422723, Decatur, GA); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366158669) · Data from the CMS NPPES public registry.