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TARA BUCKHALTER CPNP
NPI 1669071866
Nurse Practitioner - Pediatrics in Atlanta, GA

Active since October 20, 2020
1150 LAKE HEARN DRIVE, ATLANTA, GA 30342(954) 594-6520 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2024, Oct 20, 2020 (2 updates tracked since 2020).

About Tara Buckhalter Cpnp NPPES

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

TARA BUCKHALTER CPNP (NPI 1669071866) is an individual pediatrics provider in Atlanta, Georgia, licensed in Georgia (RN212433) and active in the NPI registry since October 2020. She maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1669071866
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameTARA BUCKHALTERCredential: CPNP
Location Address1150 LAKE HEARN DRIVEAtlanta, GA 30342
Mailing Address4263 Glengary Drive NeAtlanta, GA 30342 · (954) 594-6520
Phone(954) 594-6520
Sole ProprietorYes
Enumeration DateOctober 20, 2020
Last NPPES UpdateOctober 1, 20242 updates tracked since enumeration
NPPES CertifiedOctober 1, 2024
✔ NPI 1669071866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in GA · RN212433
1150 LAKE HEARN DRIVE, Atlanta, GA 30342
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Secondary Practice Location 1

Location 11405 Clifton Rd NEAtlanta, GA 30322-1060 · Phone (404) 785-6330

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 Buckhalter's NPI number?

The NPI number for Tara Buckhalter is 1669071866. It was assigned to this individual provider in the NPPES registry on October 20, 2020.

Where is Tara Buckhalter located?

Tara Buckhalter practices at 1150 Lake Hearn Drive, Atlanta, GA 30342. The listed phone number is (954) 594-6520.

What is Tara Buckhalter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Tara Buckhalter was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.