Nicholas Tinker
Obstetrics & Gynecology, Maternal & Fetal Medicine in Marietta, GA. Individual provider (NPI-1).
NPI number1669904314
StatusActive
Last updated in NPPESNov 4, 2025
Details
- NPI
- 1669904314
- Entity type
- Individual (NPI-1)
- Name
- Nicholas Tinker
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2017
- Certification date
- Nov 4, 2025
- Last updated
- Nov 4, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OBSTETRICS/GYNECOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VM0101X | Obstetrics & Gynecology, Maternal & Fetal Medicine | 100030 | GA | Yes |
| 207V00000X | Obstetrics & Gynecology | 100030 | GA | |
| 207V00000X | Obstetrics & Gynecology | ME163109 | FL |
Practice location
699 Church St Ne Ste 310Marietta, GA 30060-1122
Phone 470-267-1980
Mailing address
699 Church St Ne Ste 310Marietta, GA 30060-1122
Phone 470-267-1980
Other practice locations
1611 Nw 12th Ave
Miami, FL 33136-1005
Miami, FL 33136-1005
Phone 305-585-5437
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Maternal & Fetal Medicine Physician providers in Marietta, GA
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.