P Praxis·MD
● Active Type 1 · Individual

DR. Suzanne Renee Tambasco, NP

Nurse Practitioner·Fayetteville, GA· NPI 1417500786 · Enumerated 2019 · 6 years on NPI
Tambasco is 1 of 32 nurse practitioner providers in Fayetteville and 1 of 1622 in Georgia.
NPI age
6 years
Enumerated 2019-07-16
Primary specialty
Nurse Practitioner
Plus 7 subspecialties
Licensed in
NM, GA, AZ, VA, WV, FL, CO, OR
8 states
Status
Active
No deactivations on record
Last NPPES update
2023-07-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1622 active nurse practitioner providers in Georgia.

NPI age
6 years
↑ 2 yr above median (4 yr)
State licenses
8 states
Top 88% — 12% of peers are multi-state
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2019 → 2026

2019-07Enumerated in NPPES
2019 2026

Where they practice

Practice location
210 Trilith Pkwy
Fayetteville, GA 302144616
📞 7703095891
Mailing address
2870 Peachtree Rd Nw
Atlanta, GA 303052918
📞 7703095891

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    NM license #CNP-63745GA license #155955AZ license #259122VA license #24185688WV license #114662FL license #11022333CO license #0002821OR license #202102650 taxonomy 363LP0808X

Practice context

Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.

Recently enumerated nearby: 3 new nurse practitioner providers have been added in Fayetteville in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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