DR. TAMI L BRETON (MD) – Internal Medicine Physician, NPI 1790775906

DR. TAMI L BRETON (MD) is a healthcare provider. based in Kennesaw, Georgia. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 038695 (GA). The NPI Number for DR. TAMI L BRETON (MD) is 1790775906

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMI L BRETON (MD)
NPI
1790775906
Phone
(770) 426-5666
Address
3805 CHEROKEE ST NW
Enumeration Date
27 October 2005
Last Update Date
30 September 2019

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK - STATE COLLEGE OPTOMETRY
Secondary Phone
7704248222
Graduation Year
1991 (35 years ago)
PAC ID
1355425786
Group Practice PAC ID
6709065402
Professional Enrollment ID
I20080225000421
Address ID
GA301527742KE5150XRDXX501

Contacts

Secure Messaging
tbreton4338@directwellstar.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

5,405 INTERNAL MEDICINE in GA

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Provider Addresses for DR. TAMI L BRETON (MD)

  • Kennesaw Medical Center, 3805, Cherokee Street Northwest, Kennesaw, Georgia, 30144, United States

    KENNESAW, GA 301442085

    Phone: (770) 426-5666

    Fax: (770) 426-6205

    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)

CMS reports 11 Open Payments records for all available years, with a total value of $203.

Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.

Last reported payment date: 2024-08-28 • Largest payer in this snapshot: Dexcom, Inc. ($70).

Total Amount

$203

General + Research + Ownership

Payments

11

Total payment records

General Amount

$203

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-28

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: 2008-02-25

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
I20080225000421IInternal MedicineGATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes230190$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit212212$0
G0008Administration of influenza virus vaccine7373$0
90662Influenza vaccine split virus, preservative free7272$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use6161$0
View full utilization report →

Insurance plans in this area (ZIP 30144)

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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: 6709065402View full group profile
NameSpecialtyState
-GA
-GA
-GA
R H E U M A T O L O G YMI
Hospitalist, Internal MedicineGA
Nurse PractitionerTN
Family PracticeGA
Physician AssistantGA
Physician AssistantGA
Hospitalist, Internal MedicineGA

Reviews

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Frequently asked questions

Is there an official ID for DR. TAMI L BRETON (MD) in U.S. healthcare records?
The official identifier for DR. TAMI L BRETON (MD) is NPI 1790775906.
Is there an active status for DR. TAMI L BRETON (MD)?
For scheduling context, DR. TAMI L BRETON (MD) is shown as active in the registry.
What clinical focus is listed for DR. TAMI L BRETON (MD)?
At a glance, DR. TAMI L BRETON (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. TAMI L BRETON (MD) located near Kennesaw?
DR. TAMI L BRETON (MD) currently maps to Kennesaw, Georgia in this extract.
Does DR. TAMI L BRETON (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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