TABATHA PESHEL (NP) – Nurse Practitioner, NPI 1821149139

TABATHA PESHEL (NP) is a healthcare provider. based in Kennesaw, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 115803 (GA). The NPI Number for TABATHA PESHEL (NP) is 1821149139

Main info

Female
20 Years Of Experience
Accepts Medicare Assignment
Name
TABATHA PESHEL (NP)
NPI
1821149139
Phone
(770) 423-0595
Address
60 CHASTAIN CENTER BLVD NW STE 66
Enumeration Date
15 January 2007
Last Update Date
19 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7704230595
Graduation Year
2006 (20 years ago)
PAC ID
6901909381
Group Practice PAC ID
6709862212
Professional Enrollment ID
I20070306000480
Address ID
GA300601179MA61XXXNEXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

9,658 NURSE PRACTITIONER in GA

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Provider Addresses for TABATHA PESHEL (NP)

  • 60 CHASTAIN CENTER BLVD NW STE 66

    KENNESAW, GA 301445598

    Phone: (770) 423-0595

    Fax: (678) 391-5055

    Type: Mailing

  • 100 STONEFOREST DR STE 130

    WOODSTOCK, GA 301894881

    Phone: (678) 388-1610

    Fax: (678) 388-1627

    Type: Mailing

  • 55, Whitcher Street Northwest, Elizabeth, Marietta, Cobb, Georgia, 30060, United States

    SUITE 350

    MARIETTA, GA 300601155

    Phone: (770) 424-6893

    Fax: (678) 819-0357

    Type: Mailing

  • 148, Bill Carruth Parkway, Hiram, Paulding County, Georgia, 30141, United States

    SUITE 100

    HIRAM, GA 301413754

    Phone: (678) 324-4444

    Fax: (770) 528-9932

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $323.

Total Amount is formed as General ($323) + Research ($0) + Ownership ($0) = $323.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Medtronic, Inc. ($116).

Total Amount

$323

General + Research + Ownership

Payments

13

Total payment records

General Amount

$323

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

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: 2007-03-06

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
I20070306000480INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes433331$0
99213Established patient office or other outpatient visit, 20-29 minutes337231$0
99204New patient office or other outpatient visit, 45-59 minutes195195$0
99441Telephone medical discussion with physician, 5-10 minutes2626$0
99203New patient office or other outpatient visit, 30-44 minutes1717$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: 6709862212View full group profile
NameSpecialtyState
Physician AssistantGA
Nurse PractitionerGA
Vascular SurgeryTN
Physician AssistantGA
Vascular Surgery, General SurgeryGA
Physician AssistantGA
Nurse PractitionerGA
Vascular Surgery, Undersea And Hyperbaric MedicineGA
Nurse PractitionerGA
Vascular SurgeryGA

Reviews

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Frequently asked questions

What unique ID ties claims to TABATHA PESHEL (NP)?
NPI 1821149139 is assigned to TABATHA PESHEL (NP) under the national enumeration system.
Does this profile mean TABATHA PESHEL (NP) is currently active?
Yes — TABATHA PESHEL (NP) appears active in the national provider directory.
Does TABATHA PESHEL (NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for TABATHA PESHEL (NP). Clinical services aligned with this taxonomy classification.
Where does public data place TABATHA PESHEL (NP)?
The snapshot lists Kennesaw, Georgia for TABATHA PESHEL (NP); download NPPES for the complete set.
What if Kennesaw, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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