RHONDA TISDALE NP-BC
NPI 1508315102
Nurse Practitioner - Family in Newnan, GA

Active since September 25, 2016PECOS EnrolledAccepts Medicare Assignment
94.05/100
CMS Quality Rating
1751 NEWNAN CROSSING BLVD E, NEWNAN, GA 30265(678) 423-5854 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jun 5, 2017, Dec 12, 2016 and 1 more (4 updates tracked since 2016).

About Rhonda Tisdale Np-bc NPPES

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

RHONDA TISDALE NP-BC (NPI 1508315102) is an individual family provider in Newnan, Georgia, licensed in Georgia (RN217347) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1508315102
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameRHONDA TISDALECredential: NP-BC
Location Address1751 NEWNAN CROSSING BLVD ENewnan, GA 30265-1517
Mailing Address1751 Newnan Crossing Blvd E.Newnan, GA 30265 · (678) 423-5854
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 25, 2016
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
✔ NPI 1508315102 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 · RN217347
1751 NEWNAN CROSSING BLVD E, Newnan, GA 30265

Accepted 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

Rhonda Tisdale Np-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.

PECOS PAC ID648551994
PECOS Enrollment IDI20161229000922
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

3

Medicare enrollment records show Rhonda Tisdale reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
1855 HUDSON BRIDGE RD
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 565 clinicians in this Medicare group
Urgent Care
4223 MORELAND AVENUE HWY 42
Conley, GA 30288
  • Reassigned Medicare billing, Georgia enrollment
  • 72 clinicians in this Medicare group
Internal Medicine
240 N HIGHLAND AVE NE STE F
Atlanta, GA 30307
  • Reassigned Medicare billing, Georgia enrollment
  • 427 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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
55 services55 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30265 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability93
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
21%39 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
43%28 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
51%39 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
56%43 patients3/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
46%24 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Pharmacy (Community/Retail Pharmacy)
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265
Pharmacist
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265
Nurse Practitioner (Family)
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265
Nurse Practitioner
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265
Pharmacy (Community/Retail Pharmacy)
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265
Nurse Practitioner (Family)
1751 NEWNAN CROSSING BLVD E
NEWNAN, GA 30265

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 Rhonda Tisdale's NPI number?

The NPI number for Rhonda Tisdale is 1508315102. It was assigned to this individual provider in the NPPES registry on September 25, 2016.

Where is Rhonda Tisdale located?

Rhonda Tisdale practices at 1751 Newnan Crossing Blvd E, Newnan, GA 30265. The listed phone number is (678) 423-5854.

What is Rhonda Tisdale's specialty?

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

Is Rhonda Tisdale enrolled in Medicare?

Yes. Rhonda Tisdale 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 Rhonda Tisdale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rhonda Tisdale reassigns Medicare benefits to 3 organizations: Piedmont Professional Services, LLC (Stockbridge, GA), American Current Care PA (Conley, GA) and Piedmont Medical Care Corporation (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 Rhonda Tisdale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rhonda Tisdale accept?

Health plans from Alliant Health Plans, Inc., CareSource, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida and Oscar Health Plan of North Carolina, Inc and 3 other insurers list Rhonda Tisdale 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 Rhonda Tisdale was last updated on July 21, 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.