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

Tanja Phillips

Individual provider Family Nurse Practitioner · NPI 1801662382

Tanja Phillips is a Nurse Practitioner in Suwanee, Georgia. Qualified in 2023, 3 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
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Practice location Address checks out

4235 Johns Creek Pkwy Ste A
Suwanee, GA 30024-6038
Phone: (678) 402-9550
Fax: (678) 802-5765
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence RN265406 (GA)

Record details

NPI number1801662382
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 27, 2023
Last updated in NPPESApril 8, 2026
Certification dateApril 8, 2026
Mailing addressPo Box 117598, Atlanta, GA 30368-7598

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 Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Suwanee