TISHA V TIPNIS (MD) – Internal Medicine Physician, NPI 1457464885

TISHA V TIPNIS (MD) is a healthcare provider. based in Cartersville, Georgia. specializing in HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 058251 (GA). The NPI Number for TISHA V TIPNIS (MD) is 1457464885

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
TISHA V TIPNIS (MD)
NPI
1457464885
Phone
(470) 490-1901
Address
970 Joe Frank Harris Pkwy SE
Enumeration Date
17 August 2006
Last Update Date
7 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7709822331
Graduation Year
2006 (20 years ago)
PAC ID
1557365285
Group Practice PAC ID
6406101005
Professional Enrollment ID
I20060911000555
Address ID
GA300785739SN2295XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,281 HOSPITALIST in GA

Provider Addresses for TISHA V TIPNIS (MD)

  • 970 Joe Frank Harris Pkwy SE

    Cartersville, GA 301202159

    Phone: (470) 490-1901

    Fax: (470) 490-1908

    Type: Location

  • 5673 Peachtree Dunwoody Rd Ste 320

    Atlanta, GA 303421805

    Phone: (404) 855-5660

    Fax: (404) 855-5696

    Type: Location

  • 2295 RONALD REAGAN PKWY STE 300

    SNELLVILLE, GA 300785739

    Phone: (770) 982-2331

    Fax: (770) 972-4104

    Type: Location

  • 5281 VERNON SPRINGS TRL

    ATLANTA, GA 303274511

    Phone: (770) 982-2331

    Fax: (770) 972-4104

    Type: Mailing

  • Lawrenceville Post Office, 2611, Main Street, Lawrenceville, Lawrence Township, Mercer County, New Jersey, 08648, United States

    LAWRENCEVILLE, GA 300461170

    Phone: (470) 325-0159

    Fax: (470) 325-0191

    Type: Mailing

  • Gwinnett Medical Center, 1000, Medical Center Boulevard, Lawrenceville, Gwinnett County, Georgia, 30046, United States

    LAWRENCEVILLE, GA 300467694

    Phone: (678) 312-3273

    Fax: (678) 312-3282

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 27 Open Payments records for all available years, with a total value of $1,016.

Total Amount is formed as General ($1,016) + Research ($0) + Ownership ($0) = $1,016.

Last reported payment date: 2024-12-24 • Largest payer in this snapshot: Kerecis Limited ($395).

Total Amount

$1,016

General + Research + Ownership

Payments

27

Total payment records

General Amount

$1,016

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-09-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060911000555IHospitalistGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
11042Removal of skin and tissue, 20.0 sq cm or less950243$0
11045Removal of skin and tissue, each additional 20.0 sq cm or less52422$0
15271Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less31657$0
99212Established patient office or other outpatient visit, 10-19 minutes18399$0
99213Established patient office or other outpatient visit, 20-29 minutes15498$0
View full utilization report →

Insurance plans in this area (ZIP 30120)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406101005View full group profile
NameSpecialtyState
Internal Medicine, HospitalistGA
Nurse PractitionerGA
Family PracticeMO

Reviews

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Frequently asked questions

Can I use this page to confirm TISHA V TIPNIS (MD)'s NPI?
Yes. TISHA V TIPNIS (MD) is listed with NPI 1457464885 in the public NPI dataset.
Is TISHA V TIPNIS (MD) listed as active for patients and plans?
The listing shows TISHA V TIPNIS (MD) as active in the NPI system.
What taxonomy line describes TISHA V TIPNIS (MD)?
For research purposes, treat TISHA V TIPNIS (MD) as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does TISHA V TIPNIS (MD) list a practice location?
Patients near Cartersville, Georgia may find TISHA V TIPNIS (MD) in results; validate coverage separately.
How many locations tie to this NPI?
6 practice locations appear in the available data.

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