TONYA WAINWRIGHT CARODINE NP
NPI 1528548476
Nurse Practitioner in Macon, GA

Q: What is Tonya Carodine's NPI number?

The NPI number for Tonya Carodine is 1528548476. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Q: What is Tonya Carodine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tonya Carodine was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since August 20, 2018PECOS EnrolledAccepts Medicare Assignment

777 HEMLOCK ST, MACON, GA 31201(478) 633-8700 Get Directions Write a Review

NPPES record last updated: September 5, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2018, Aug 20, 2018 (2 updates tracked since 2018).

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About Tonya Wainwright Carodine Np NPPES

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

TONYA WAINWRIGHT CARODINE NP (NPI 1528548476) is an individual nurse practitioner in Macon, Georgia, licensed in Georgia (RN238884) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1528548476

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTONYA WAINWRIGHT CARODINECredential: NP

Location Address777 HEMLOCK STMacon, GA 31201

Mailing Address777 Hemlock StMacon, GA 31201-2102 · (478) 633-8700

Phone(478) 633-8700

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateAugust 20, 2018

Last NPPES UpdateSeptember 5, 20182 updates tracked since enumeration

✔ NPI 1528548476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN238884

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

777 HEMLOCK ST, Macon, GA 31201

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonya Wainwright Carodine Np 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 ID446502553

PECOS Enrollment IDI20181017001817

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.

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

63 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

15 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31201 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 20

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

LAUREN WAGNER D.O.

Pediatrics

777 HEMLOCK ST, MSC 42
MACON, GA 31201

Bibb County (478) 633-7600

AMELIA CATHERINE LLERENA

Obstetrics & Gynecology

777 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 633-6701

JO BETH ROBERTS NP

Nurse Practitioner (Pediatrics)

777 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 633-6706

RONALD KNIGHTS PHRAM. D.

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)

777 HEMLOCK ST
MACON, GA 31201

Bibb County (478) 633-1434

MRS. DENA D MCKENNA PAAA

Anesthesiologist Assistant

777 HEMLOCK ST, MSC10
MACON, GA 31201

Bibb County (478) 633-1000

LOWELL CLARK MD

Pediatrics (Pediatric Critical Care Medicine)

777 HEMLOCK ST, MSC 83
MACON, GA 31201

Bibb County (478) 633-7140

RICHARD A SCHERER CRNA

Nurse Anesthetist, Certified Registered

777 HEMLOCK ST
MACON, GA 31201

Bibb County (866) 507-5244

DEMETRA D MCGLOTHIN CRNA

Nurse Anesthetist, Certified Registered

777 HEMLOCK ST
MACON, GA 31201

Bibb County (866) 507-5244

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 Tonya Carodine's NPI number?

The NPI number for Tonya Carodine is 1528548476. It was assigned to this individual provider in the NPPES registry on August 20, 2018.

Where is Tonya Carodine located?

Tonya Carodine practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (478) 633-8700.

What is Tonya Carodine's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tonya Carodine enrolled in Medicare?

Yes. Tonya Carodine 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.

What insurance does Tonya Carodine accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Tonya Carodine 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.

Is Tonya Carodine affiliated with any hospitals?

According to CMS data, Tonya Carodine is affiliated with Atrium Health Navicent The Medical Center.

When was this NPI record last updated?

The NPPES record for Tonya Carodine was last updated on September 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.