MISS TINA MARIE MASON (MD) – Gynecology Physician, NPI 1255392148

MISS TINA MARIE MASON (MD) is a healthcare provider. based in Johns creek, Georgia. specializing in Gynecology Physician. They hold the professional credentials MD. They hold a License No. 039405 (GA). The NPI Number for MISS TINA MARIE MASON (MD) is 1255392148

Main info

Female
Sole Proprietor
Name
MISS TINA MARIE MASON (MD)
NPI
1255392148
Phone
(678) 985-5800
Address
6300 HOSPITAL PKWY
Enumeration Date
30 March 2006
Last Update Date
26 July 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MISS TINA MARIE MASON (MD)

  • Hospital Parkway, Johns Creek, Georgia, 30098, United States

    SUITE 200

    JOHNS CREEK, GA 300971828

    Phone: (678) 985-5800

    Fax: (678) 376-5848

    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: 2008-01-30

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
I20080130000010IObstetrics/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 30097)

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Reviews

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Frequently asked questions

Is there an official ID for MISS TINA MARIE MASON (MD) in U.S. healthcare records?
The official identifier for MISS TINA MARIE MASON (MD) is NPI 1255392148.
Is there an active status for MISS TINA MARIE MASON (MD)?
For scheduling context, MISS TINA MARIE MASON (MD) is shown as active in the registry.
What kind of doctor is MISS TINA MARIE MASON (MD)?
MISS TINA MARIE MASON (MD) is associated with Gynecology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is MISS TINA MARIE MASON (MD) located near Johns Creek?
MISS TINA MARIE MASON (MD) currently maps to Johns Creek, Georgia in this extract.
When was this NPI issued?
Enumeration for MISS TINA MARIE MASON (MD) is noted as March 30, 2006 where the registry provides it.

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