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

TISHANA GARDENER
NPI 1801246608
Nurse Practitioner - Family in Decatur, GA

Active since June 13, 2016PECOS Enrolled
107 N MCDONOUGH ST, DECATUR, GA 30030(678) 772-9935 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2024, Jun 13, 2016 (2 updates tracked since 2016).

About Tishana Gardener NPPES

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

TISHANA GARDENER (NPI 1801246608) is an individual family provider in Decatur, Georgia, licensed in Georgia (317752) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801246608
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTISHANA GARDENER
Location Address107 N MCDONOUGH STDecatur, GA 30030-3317
Mailing Address107 N Mcdonough StDecatur, GA 30030-3317
Phone(678) 772-9935
Sole ProprietorYes
Enumeration DateJune 13, 2016
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1801246608 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · 317752
107 N MCDONOUGH ST, Decatur, GA 30030
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tishana Gardener is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30030 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.

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 Tishana Gardener's NPI number?

The NPI number for Tishana Gardener is 1801246608. It was assigned to this individual provider in the NPPES registry on June 13, 2016.

Where is Tishana Gardener located?

Tishana Gardener practices at 107 N Mcdonough St, Decatur, GA 30030. The listed phone number is (678) 772-9935.

What is Tishana Gardener's specialty?

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

Is Tishana Gardener enrolled in Medicare?

Yes. Tishana Gardener is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tishana Gardener was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.