MRS. MIRIAM TIVZENDA FNP
NPI 1902466154
Nurse Practitioner - Family in Sandy Springs, GA

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
1120 HOPE RD STE 210, SANDY SPRINGS, GA 30350(833) 633-4778 Get Directions Write a Review

NPPES record last updated: June 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mrs. Miriam Tivzenda Fnp NPPES

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

MRS. MIRIAM TIVZENDA FNP (NPI 1902466154) is an individual family provider in Sandy Springs, Georgia, licensed in Georgia (NC000003) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902466154
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. MIRIAM TIVZENDACredential: FNP
Location Address1120 HOPE RD STE 210Sandy Springs, GA 30350-2957
Mailing Address1120 Hope Rd Ste 210Sandy Springs, GA 30350-2957 · (833) 633-4778
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 19, 2019
✔ NPI 1902466154 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 · NC000003
1120 HOPE RD STE 210, Sandy Springs, GA 30350

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. Miriam Tivzenda Fnp 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 ID8527492370
PECOS Enrollment IDI20200102001836
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 Reassignment

Medicare enrollment records show Miriam Tivzenda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
200 HANNOVER PARK RD STE 100
Atlanta, GA 30350
  • Reassigned Medicare billing, Georgia enrollment
  • 64 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 30350 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 Miriam Tivzenda's NPI number?

The NPI number for Miriam Tivzenda is 1902466154. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Miriam Tivzenda located?

Miriam Tivzenda practices at 1120 Hope Rd Ste 210, Sandy Springs, GA 30350. The listed phone number is (833) 633-4778.

What is Miriam Tivzenda's specialty?

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

Is Miriam Tivzenda enrolled in Medicare?

Yes. Miriam Tivzenda 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 organization bills Medicare for Miriam Tivzenda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miriam Tivzenda reassigns Medicare benefits to Saint Joseph's Mercy Care Services, Inc. (Atlanta, GA). The 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 Miriam Tivzenda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Miriam Tivzenda accept?

Health plans from Oscar Health list Miriam Tivzenda 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 Miriam Tivzenda was last updated on June 19, 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.