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DR. SUZANNE RENEE TAMBASCO NP
NPI 1417500786
Nurse Practitioner - Psychiatric/Mental Health in Fayetteville, GA

Active since July 16, 2019
210 TRILITH PKWY, FAYETTEVILLE, GA 30214(770) 309-5891 Get Directions Write a Review

NPPES record last updated: July 12, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 12, 2023, Feb 16, 2022, Jul 1, 2021 and 1 more (4 updates tracked since 2019).

About Dr. Suzanne Renee Tambasco Np NPPES

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

DR. SUZANNE RENEE TAMBASCO NP (NPI 1417500786) is an individual psychiatric/mental health provider in Fayetteville, Georgia, licensed in New Mexico (CNP-63745) and active in the NPI registry since July 2019.

NPPES Registry Identity

NPI1417500786
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. SUZANNE RENEE TAMBASCOCredential: NP
Location Address210 TRILITH PKWYFayetteville, GA 30214-4616
Mailing Address2870 Peachtree Rd NwAtlanta, GA 30305-2918 · (770) 309-5891
Phone(770) 309-5891
Sole ProprietorNo
Enumeration DateJuly 16, 2019
Last NPPES UpdateJuly 12, 20234 updates tracked since enumeration
NPPES CertifiedJuly 12, 2023
✔ NPI 1417500786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NM · CNP-63745✔ Licensed in GA · 155955✔ Licensed in AZ · 259122✔ Licensed in VA · 24185688✔ Licensed in WV · 114662✔ Licensed in FL · 11022333✔ Licensed in CO · 0002821✔ Licensed in OR · 202102650
210 TRILITH PKWY, Fayetteville, GA 30214
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 2

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

TELEVATECOMP CARE
Nurse Practitioner (Psychiatric/Mental Health)
210 TRILITH PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 309-5891
ERIN DAVIS WISEHART LMFT
Marriage & Family Therapist
210 TRILITH PKWY
FAYETTEVILLE, GA 30214
Fayette County (706) 315-6689

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 Suzanne Tambasco's NPI number?

The NPI number for Suzanne Tambasco is 1417500786. It was assigned to this individual provider in the NPPES registry on July 16, 2019.

Where is Suzanne Tambasco located?

Suzanne Tambasco practices at 210 Trilith Pkwy, Fayetteville, GA 30214. The listed phone number is (770) 309-5891.

What is Suzanne Tambasco's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Suzanne Tambasco accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Suzanne Tambasco 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 Suzanne Tambasco was last updated on July 12, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.