MRS. TARA PHELPS GULSBY NP-C
NPI 1568897767
Nurse Practitioner in Loganville, GA
About Mrs. Tara Phelps Gulsby Np-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. TARA PHELPS GULSBY NP-C (NPI 1568897767) is an individual nurse practitioner in Loganville, Georgia, licensed in Georgia (RN209319) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Piedmont Walton Hospital, and maintains a secondary practice location in Athens.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Mrs. Tara Phelps Gulsby Np-c 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.
Medicare Billing Reassignments
4Medicare enrollment records show Tara Gulsby reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 36 clinicians in this Medicare group
Atlanta, GA 30342
- Reassigned Medicare billing, Georgia enrollment
- 162 clinicians in this Medicare group
Atlanta, GA 30308
- Reassigned Medicare billing, Georgia enrollment
- 190 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 689 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 4
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Piedmont Walton Hospital
Acute Care Hospitals · Monroe, GAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tara Gulsby's NPI number?
The NPI number for Tara Gulsby is 1568897767. It was assigned to this individual provider in the NPPES registry on September 6, 2013.
Where is Tara Gulsby located?
Tara Gulsby practices at 3869 Highway 81, Loganville, GA 30052. The listed phone number is (678) 635-8650.
What is Tara Gulsby's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Tara Gulsby enrolled in Medicare?
Yes. Tara Gulsby 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 Tara Gulsby's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tara Gulsby reassigns Medicare benefits to 4 organizations: Aga Clinical Services, LLC (Atlanta, GA), Aga Professional Services, LLC (Atlanta, GA), Aga, LLC (Atlanta, GA) and Piedmont Providers LLC (Jasper, 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 Tara Gulsby's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tara Gulsby affiliated with any hospitals?
According to CMS data, Tara Gulsby is affiliated with Piedmont Walton Hospital.
When was this NPI record last updated?
The NPPES record for Tara Gulsby was last updated on August 9, 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.
# Mrs. Tara Phelps Gulsby, NP-C · NPI 1568897767
Nurse Practitioner physician in Loganville, Georgia. Individual provider, active in the CMS NPPES registry since September 6, 2013.
## Identity
- **NPI:** 1568897767 (Entity type: Individual)
- **Enumerated:** September 6, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** RN209319 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3869 HIGHWAY 81, Loganville, GA 30052-3918
- **Phone:** (678) 635-8650
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Aga Clinical Services, LLC (NPI 1295193399, Atlanta, GA); Aga Professional Services, LLC (NPI 1063799120, Atlanta, GA); Aga, LLC (NPI 1124064118, Atlanta, GA); Piedmont Providers LLC (NPI 1548273592, Jasper, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** August 9, 2022
- **Other identifiers:** Medicaid 003143806G (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1568897767) · Data from the CMS NPPES public registry.