MRS. TARYN MARIE PRESTIDGE (NP-C) – Adult Health Nurse Practitioner, NPI 1790032910

MRS. TARYN MARIE PRESTIDGE (NP-C) is a healthcare provider. based in Stockbridge, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. RN183505 (GA). The NPI Number for MRS. TARYN MARIE PRESTIDGE (NP-C) is 1790032910

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. TARYN MARIE PRESTIDGE (NP-C)
NPI
1790032910
Phone
(404) 367-3014
Address
1133 EAGLES LANDING PKWY
Enumeration Date
7 August 2012
Last Update Date
11 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4043673000
Graduation Year
2012 (14 years ago)
PAC ID
8729223912
Group Practice PAC ID
1951299163
Professional Enrollment ID
I20130315000370
Address ID
GA303091611AT35XXXNWXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

Provider Addresses for MRS. TARYN MARIE PRESTIDGE (NP-C)

  • 1133 EAGLES LANDING PKWY

    STOCKBRIDGE, GA 302815085

    Phone: (404) 367-3014

    Fax: (404) 367-3558

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2013-03-15

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
I20130315000370INurse PractitionerGATBD

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
99239Hospital discharge day management, more than 30 minutes3434$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes3325$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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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: 1951299163View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Internal MedicineGA
H O S P I T A L I S TGA
Internal MedicineGA
Internal MedicineGA
Hospitalist, Internal MedicineIN
N E U R O L O G YGA
Nurse PractitionerGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

What federal number belongs to MRS. TARYN MARIE PRESTIDGE (NP-C)?
The federal identifier for MRS. TARYN MARIE PRESTIDGE (NP-C) is NPI 1790032910.
Is MRS. TARYN MARIE PRESTIDGE (NP-C) active in the national directory?
MRS. TARYN MARIE PRESTIDGE (NP-C)'s public NPI profile is in an active state.
What field does MRS. TARYN MARIE PRESTIDGE (NP-C) work in?
You can think of MRS. TARYN MARIE PRESTIDGE (NP-C) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MRS. TARYN MARIE PRESTIDGE (NP-C)?
The page summarizes Stockbridge, Georgia for MRS. TARYN MARIE PRESTIDGE (NP-C); expand the address list for detail.
Is MRS. TARYN MARIE PRESTIDGE (NP-C) a real provider?
This page reflects official NPPES data for NPI 1790032910. Always confirm identity and privileges with the practice and licensing boards.

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