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: October 25, 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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

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

Multi-Specialty
3896 PRINCETON LAKES WAY
Atlanta, GA 30331
  • Reassigned Medicare billing, Georgia enrollment
  • 771 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
4229 SNAPFINGER WOODS DR
Decatur, GA 30035
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
Internal Medicine
41800 W 11 MILE RD STE 109
Novi, MI 48375
  • Reassigned Medicare billing, Georgia enrollment
  • 110 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.

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.

Which organizations bill Medicare for Tannisa Bailey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tannisa Bailey reassigns Medicare benefits to 3 organizations: Grady Memorial Hospital Corporation (Atlanta, GA), Recovery Consultants Of Atlanta, Inc. (Decatur, GA) and Theoria Medical (Novi, MI). 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 Tannisa Bailey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 and 1 other insurer 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.