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Tabitha Maya Transue, PA-C

Physician Assistant in Roswell, GA. Individual provider (NPI-1).

NPI number1689398232
StatusActive
Last updated in NPPESMar 13, 2024

Details

NPI
1689398232
Entity type
Individual (NPI-1)
Name
Tabitha Maya Transue
Credential
PA-C
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 28, 2022
Certification date
Mar 13, 2024
Last updated
Mar 13, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

2500 Hospital Blvd Ste 280
Roswell, GA 30076-4918

Phone 770-754-0787 · Fax 770-755-5890

Mailing address

2500 Hospital Blvd Ste 280
Roswell, GA 30076-4918

Phone 770-754-0787 · Fax 770-755-5890

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Other Physician Assistant providers in Roswell, GA

All 49 Physician Assistant providers in Roswell · All 3,252 providers in Roswell

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