Healthcare Provider Details

I. General information

NPI: 1154761740
Provider Name (Legal Business Name): TAMMY ALBRITTON SINGLETON NURSE PRACTITIONER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 W 6TH AVE UNIT B
BUENA VISTA GA
31803
US

IV. Provider business mailing address

112 W 6TH AVE UNIT B
BUENA VISTA GA
31803
US

V. Phone/Fax

Practice location:
  • Phone: 229-800-5488
  • Fax: 229-800-5487
Mailing address:
  • Phone: 229-800-5488
  • Fax: 229-800-5487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN-NP129997
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: