Kristti Lei Birondo Tan, AGNP-BC
Kristti Lei Birondo Tan, AGNP-BC is a Nurse Practitioner in Douglasville, Georgia. Qualified in 2020, 6 years ago. Practices with Douglas Dermatology and Skin Cancer Specialists LLC, a 9-clinician group and accepts Medicare assignment. Licensed in New York, Tennessee and Texas.
- Years since qualifying
- 6
- Licensed in
- NY, TN, TX
- In the registry since
- 2020
- Specialties on file
- 3
Practice location Address checks out
4645 Timber Ridge Dr Ste 100Douglasville, GA 30135-7542
Phone: (678) 702-3376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence 32408 (TN) |
|---|---|
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 1014530 (TX) |
| Adult Health Nurse Practitioner | Taxonomy 363LA2200X · Licence 309683 (NY) |
Record details
| NPI number | 1679175236 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-BC |
| Sole proprietor | No |
| NPI enumerated | November 9, 2020 |
| Last updated in NPPES | April 16, 2026 |
| Certification date | April 16, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2020 (6 years in practice) |
| Group practice | Douglas Dermatology And Skin Cancer Specialists Llc — 9 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Douglasville
-
Mrs. Jennifer Jordan Dawe, NP-C
4586 Timber Ridge Dr Ste 200, Douglasville, GA 30135-7517 · (770) 942-0457
-
Raymond Edouard, FNP-C
6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288 · (678) 838-3903
-
Sylvie Johnson, AGACNP-C
8901 Stonebridge Blvd Fl 2, Douglasville, GA 30134-2244 · (470) 267-1760