1. Home
  2. Directory
  3. Georgia
  4. Douglasville
  5. Nurse Practitioner
  6. NPI Profile

KRISTTI LEI BIRONDO TAN AGNP-BC
NPI 1679175236
Nurse Practitioner - Gerontology in Douglasville, GA

Active since November 09, 2020PECOS EnrolledAccepts Medicare Assignment
4645 TIMBER RIDGE DR STE 100, DOUGLASVILLE, GA 30135(678) 702-3376 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2026, Feb 5, 2024, Jan 20, 2023 and 2 more (5 updates tracked since 2020).

About Kristti Lei Birondo Tan Agnp-bc NPPES

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

KRISTTI LEI BIRONDO TAN AGNP-BC (NPI 1679175236) is an individual gerontology provider in Douglasville, Georgia, licensed in Tennessee (32408) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1679175236
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKRISTTI LEI BIRONDO TANCredential: AGNP-BC
Location Address4645 TIMBER RIDGE DR STE 100Douglasville, GA 30135-7542
Mailing Address3320 Perimeter Hill DrNashville, TN 37211-4123 · (615) 866-9040 · Fax (615) 750-5756
Phone(678) 702-3376
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 9, 2020
Last NPPES UpdateApril 16, 20265 updates tracked since enumeration
NPPES CertifiedApril 16, 2026
✔ NPI 1679175236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in TN · 32408
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 1014530 (TX), 309683 (NY)
4645 TIMBER RIDGE DR STE 100, Douglasville, GA 30135
Open in Google Maps ↗

Other Identifiers 1

MedicaidQ079530TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Kristti Lei Birondo Tan Agnp-bc 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 ID4486992971
PECOS Enrollment IDI20250305000400
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 9

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
308 services72 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
96 services46 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
79 services14 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
72 services12 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0481
A definitive drug test is a detailed analysis used to identify specific drugs in your system. It uses advanced techniques, such as gc/ms and lc/ms, to detect and distinguish between different drugs, even those with similar structures.
62 services46 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30135 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

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

SIDNEY ADELE BROWN-CAGGIANO PA-C, MPAS
Dermatology
4645 TIMBER RIDGE DR STE 100
DOUGLASVILLE, GA 30135
Douglas County (706) 223-1235

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 Kristti Lei Tan's NPI number?

The NPI number for Kristti Lei Tan is 1679175236. It was assigned to this individual provider in the NPPES registry on November 9, 2020.

Where is Kristti Lei Tan located?

Kristti Lei Tan practices at 4645 Timber Ridge Dr Ste 100, Douglasville, GA 30135. The listed phone number is (678) 702-3376.

What is Kristti Lei Tan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kristti Lei Tan enrolled in Medicare?

Yes. Kristti Lei Tan 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 Kristti Lei Tan accept?

Health plans from Oscar Insurance Company list Kristti Lei Tan 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 Kristti Lei Tan was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.