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

Tammy Bogan

Individual provider Driver · NPI 1952090698

Tammy Bogan is a Driver in Jefferson, Georgia. Licensed in Georgia. Registered with an NPI since 2023.

Licensed in
GA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2012 Lantern Dr
Jefferson, GA 30549
Phone: (404) 210-8681
Show map & directions

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

Specialties & licences

Driver (primary) Taxonomy 172A00000X · Licence 041435217 (GA)
Driver Taxonomy 172A00000X (GA)

Record details

NPI number1952090698
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address2012 Lantern Dr, Jefferson, GA 30549