MEDICARE: PAMELA TINSLEY MD

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
1	363L00000X	Nurse Practitioner	APRN-NP079447	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00200438	OTHER	GA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	369645	OTHER	GA	WELLCARE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184617425
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA TINSLEY MD

Provider Business Mailing Address
First Line	:	3501 BAKER RD NW STE 100
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-3706
Country	:	US
Telephone Number	:	470-267-0620
Fax Number	:	770-999-2746

Provider Business Practice Location Address
First Line	:	3501 BAKER RD NW STE 100
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30101-3706
Country	:	US
Telephone Number	:	470-267-0620
Fax Number	:	770-999-2746

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/23/2005
Last Update Date	:	12/02/2025

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