Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Georgina Tung

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1104481266

Georgina Tung is a Nurse Practitioner in Wakefield, Massachusetts. Qualified in 2023, 3 years ago. Practices with Supportive Behavioral Care of MA LLC, a 106-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
3
Licensed in
MA
In the registry since
2019

Practice location Address checks out

301 Edgewater Pl Ste 100
Wakefield, MA 01880-1281
Phone: (781) 922-6363
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence RN2323510 (MA)

Record details

NPI number1104481266
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 4, 2019
Last updated in NPPESJuly 16, 2026
Certification dateJuly 16, 2026
Mailing address207 Connors St, Fitchburg, MA 01420-7263

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Supportive Behavioral Care Of Ma Llc — 106 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wakefield