TANYA MICHELLE MEZIERE (M.D.) – Obstetrics & Gynecology Physician, NPI 1912933243

TANYA MICHELLE MEZIERE (M.D.) is a healthcare provider. based in Riverdale, Georgia. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. 057749 (GA). The NPI Number for TANYA MICHELLE MEZIERE (M.D.) is 1912933243

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
TANYA MICHELLE MEZIERE (M.D.)
NPI
1912933243
Phone
(770) 996-1200
Address
PO BOX 962380
Enumeration Date
26 June 2006
Last Update Date
16 November 2011

Doctor Profile

Medical School Name
LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Secondary Phone
7065711000
Graduation Year
2002 (24 years ago)
PAC ID
8123313277
Group Practice PAC ID
9133378763
Professional Enrollment ID
I20160829000959
Address ID
GA319011527CO710XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,266 OBSTETRICS/GYNECOLOGY in GA

Provider Addresses for TANYA MICHELLE MEZIERE (M.D.)

  • The Candy Box, 5684, Riverdale Avenue, The Bronx, Bronx County, New York, 10471, United States

    RIVERDALE, GA 302966921

    Phone: (770) 996-1200

    Fax: (770) 907-7492

    Type: Mailing

  • 81 UPPER RIVERDALE RD SW

    SUITE 210

    RIVERDALE, GA 302742634

    Phone: (770) 996-1200

    Fax: (770) 907-7492

    Type: Location

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: 2016-08-29

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
I20160829000959IObstetrics/GynecologyGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30296)

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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: 9133378763View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA
Certified Nurse Midwife (Cnm)GA
-GA
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YWV
O B S T E T R I C S/ G Y N E C O L O G YGA
O B S T E T R I C S/ G Y N E C O L O G YGA

Reviews

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Frequently asked questions

What NPI should I save for TANYA MICHELLE MEZIERE (M.D.)?
Save NPI 1912933243 if you need a stable reference for TANYA MICHELLE MEZIERE (M.D.).
Is TANYA MICHELLE MEZIERE (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize TANYA MICHELLE MEZIERE (M.D.)'s specialty in plain language?
Clinically, the directory lists TANYA MICHELLE MEZIERE (M.D.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place TANYA MICHELLE MEZIERE (M.D.)?
The snapshot lists Riverdale, Georgia for TANYA MICHELLE MEZIERE (M.D.); download NPPES for the complete set.
What if Riverdale, Georgia seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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