MRS. TANNISA D BAILEY APRN
NPI 1649520800
Nurse Practitioner - Family in Riverdale, GA

Active since September 14, 2012PECOS EnrolledAccepts Medicare Assignment
1324 HIGHWAY 138 SW, RIVERDALE, GA 30296(770) 907-4949(770) 907-4022 Get Directions Write a Review

NPPES record last updated: July 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tannisa D Bailey Aprn NPPES

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

MRS. TANNISA D BAILEY APRN (NPI 1649520800) is an individual family provider in Riverdale, Georgia, licensed in Georgia (RN173039) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Atlanta, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649520800
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TANNISA D BAILEYCredential: APRN
Location Address1324 HIGHWAY 138 SWRiverdale, GA 30296
Mailing Address1100 Ethans WayMcdonough, GA 30252-8578 · (678) 565-4677
Fax(770) 907-4022
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 14, 2012
Last NPPES UpdateJuly 9, 2019
NPI 1649520800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN173039
Also ListedRegistered NurseTaxonomy 163W00000X · License RN173039 (GA)
1324 HIGHWAY 138 SW, Riverdale, GA 30296

Secondary Practice Location 1

Location 11046 Ridge Ave SWAtlanta, GA 30315-1640 · Phone (404) 688-1350

Accepted 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

Mrs. Tannisa D Bailey Aprn 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 ID1254605702
PECOS Enrollment IDI20170921001437
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30296 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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 7

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

Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Nurse Practitioner (Family)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Physician Assistant (Medical)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Physician Assistant (Medical)
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Internal Medicine
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Internal Medicine
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296
Family Medicine
1324 HIGHWAY 138 SW
RIVERDALE, GA 30296

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 Tannisa Bailey's NPI number?

The NPI number for Tannisa Bailey is 1649520800. It was assigned to this individual provider in the NPPES registry on September 14, 2012.

Where is Tannisa Bailey located?

Tannisa Bailey practices at 1324 Highway 138 SW, Riverdale, GA 30296. The listed phone number is (770) 907-4949.

What is Tannisa Bailey's specialty?

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

Is Tannisa Bailey enrolled in Medicare?

Yes. Tannisa Bailey 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 Tannisa Bailey accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Tannisa Bailey 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 Tannisa Bailey was last updated on July 9, 2019. 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.