DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: TINA S. CHAVIS FNP, PMHNP

MEDICARE: TINA S. CHAVIS FNP, PMHNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner28184688AIN
2364SP0808XPsychiatric/Mental Health Clinical Nurse Specialist71005603AIN
3363LP0808XPsychiatric/Mental Health Nurse Practitioner71005603AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
128184688AOTHERINRN

General Provider Information

NPI Number : 1053795435
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA S. CHAVIS FNP, PMHNP
Provider Business Mailing Address
First Line : 3074 DOGWOOD LN
Second Line :
City : RICHMOND
State : IN
Zip : 47374-3531
Country : US
Telephone Number : 765-967-0466
Fax Number :
Provider Business Practice Location Address
First Line : PO BOX 748465
Second Line :
City : ATLANTA
State : GA
Zip : 30374-8465
Country : US
Telephone Number : 855-284-7483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2015
Last Update Date : 06/11/2025

Similar Medicare Providers

1023851334 — MAITE REECE MA, PSYD
Practice Location Address:
PO BOX 748465
ATLANTA, GA
30374-8465
Practice Phone: 855-284-7483
Practice Fax: 617-807-0958
1922399484 — MRS. TIFFANY M. AFFLALO-WILLIAMS LPC
Practice Location Address:
PO BOX 748465
ATLANTA, GA
30374-8465
Practice Phone: 855-284-7483
Practice Fax: 617-807-0958
1932482296 — MRS. REESHA FAYE JEANETTE MONTGOMERY LMFT
Practice Location Address:
PO BOX 748465
ATLANTA, GA
30374-8465
Practice Phone: 855-284-7483
Practice Fax:
1043607658 — KENYA CANNONIER FNP-BC, PMHNP-BC
Practice Location Address:
PO BOX 748465
ATLANTA, GA
30374-8465
Practice Phone: 855-284-7483
Practice Fax:
1861850562 — LYNN A MCCORMICK
Practice Location Address:
PO BOX 748465
ATLANTA, GA
30374-8465
Practice Phone: 855-284-7483
Practice Fax:
1114431947 — MR. THOMAS J SOWERS LCSW
Practice Location Address:
PO BOX 748465
ATLANTA, GA
30374-8465
Practice Phone: 855-284-7483
Practice Fax: 617-807-0958

Directions to “ TINA S. CHAVIS FNP, PMHNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.