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

Tina L. Hathaway

Individual provider Adult Health Nurse Practitioner · NPI 1023529914

Tina L. Hathaway is a Nurse Practitioner in Statesboro, Georgia. Qualified in 2017, 9 years ago. Practices with East Georgia Hma Physician Management LLC, a 40-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
9
Licensed in
GA
In the registry since
2017
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Practice location Address checks out

114 Hill Pond Ln
Statesboro, GA 30458-0872
Phone: (912) 681-6944
Fax: (912) 681-8744
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence RN165131 (GA)

Record details

NPI number1023529914
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2017
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice East Georgia Hma Physician Management Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Statesboro