TEQUILLIA FLEWELLEN APRN
NPI 1902620529
Family Medicine in Milner, GA
About Tequillia Flewellen Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TEQUILLIA FLEWELLEN APRN (NPI 1902620529) is an individual family medicine provider in Milner, Georgia, licensed in Georgia (RN191895) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
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
Tequillia Flewellen 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.
Medicare Billing Reassignments
3Medicare enrollment records show Tequillia Flewellen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Silver Spring, MD 20910
- Reassigned Medicare billing, Georgia enrollment
- 48 clinicians in this Medicare group
Silver Spring, MD 20910
- Reassigned Medicare billing, Georgia enrollment
- 47 clinicians in this Medicare group
Fulton, MD 20759
- Reassigned Medicare billing, Georgia enrollment
- 67 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 30257 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Tequillia Flewellen's NPI number?
The NPI number for Tequillia Flewellen is 1902620529. It was assigned to this individual provider in the NPPES registry on November 11, 2024.
Where is Tequillia Flewellen located?
Tequillia Flewellen practices at 1019 Morgan Dairy Rd, Milner, GA 30257. The listed phone number is (770) 927-5263.
What is Tequillia Flewellen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tequillia Flewellen enrolled in Medicare?
Yes. Tequillia Flewellen 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 Tequillia Flewellen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tequillia Flewellen reassigns Medicare benefits to 3 organizations: Ennoble Hc Dmv II LLC (Silver Spring, MD), Ennoble Hc Dmv III LLC (Silver Spring, MD) and Ennoble Hc Dmv LLC (Fulton, MD). 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 Tequillia Flewellen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tequillia Flewellen was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Tequillia Flewellen, APRN · NPI 1902620529
Family Medicine physician in Milner, Georgia. Individual provider, active in the CMS NPPES registry since November 11, 2024.
## Identity
- **NPI:** 1902620529 (Entity type: Individual)
- **Enumerated:** November 11, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** RN191895 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1019 MORGAN DAIRY RD, Milner, GA 30257-3130
- **Phone:** (770) 927-5263
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Ennoble Hc Dmv II LLC (NPI 1134002900, Silver Spring, MD); Ennoble Hc Dmv III LLC (NPI 1922981695, Silver Spring, MD); Ennoble Hc Dmv LLC (NPI 1104492115, Fulton, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1902620529) · Data from the CMS NPPES public registry.