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Tisharie Sydar Needham , NP

Nurse Practitioner β€’ Conyers, GA

Active NPI 1780253229 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

1412 Milstead Ave Ne
Conyers, GA 300123877

Call 4046052800 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1412 Milstead Ave Ne

Conyers, GA 300123877

Telephone 4046052800
Organization at the Same NPPES Address or Phone
Rockdale Medical Center Home Health Facility NPI 1780652164

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Atlanta, GA; Lawrenceville, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Northside Cardiovascular Professional Services, Llc; Piedmont Cardiology Of Atlanta, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2021

Open Payments general payments, program year 2025

All general payments: $145.73 across 2 records.

By nature of payment

  • Food and Beverage: $145.73 across 2 records.

Reporting-company totals

  • Janssen Pharmaceuticals, Inc: $122.48 across 1 record.
  • Novartis Pharmaceuticals Corporation: $23.25 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

5 years (graduated 2021)

CMS Doctors and Clinicians data list 2021 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tisharie Needham has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tisharie Needham as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Conyers and Georgia

22 active clinicians are listed under Nurse Practitioner with a practice address in Conyers, GA (3,110 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Conyers

13.6% of these 22 clinicians have the CMS telehealth indicator.

50% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $145.73.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
UPTRAVI General $122.48
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
LEQVIO General $23.25

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-03-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA APRN-NP234785

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20220603000211

Enrollment State Jurisdiction

GA

PECOS Control ID

6305224304

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Piedmont Cardiology Of Atlanta, Llc

1412 Milstead Ave Ne, Conyers, GA 300123877

Phone: 7709183000

Northside Cardiovascular Professional Services, Llc

1000 Medical Ctr Blvd, Lawrenceville, GA 300467694

Phone: 6783121000

Secondary Practice Locations

1000 Medical Center Blvd

Lawrenceville, GA 300467694

Phone: 6783123294

5665 Peachtree Dunwoody Rd

Atlanta, GA 303421764

Phone: 0000000000

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

39 listed
Dr. Katie Bailey , DO

Emergency Medicine

NPI 1083974802

Doctor of Osteopathic Medicine (D.O.)

Sarah Balk , PA

Physician Assistant

NPI 1235789066

Physician Assistant

Enas Basha , NP

Nurse Practitioner - Acute Care

NPI 1104328095

Nurse Practitioner

Dr. Raul Blanco , MD

Internal Medicine - Cardiovascular Disease

NPI 1134303498

Doctor of Medicine (M.D.)

Dr. John Cantwell , MD

Internal Medicine - Cardiovascular Disease

NPI 1154336923

Doctor of Medicine (M.D.)

Dr. Harold Carlson , MD

Internal Medicine - Interventional Cardiology

NPI 1023013315

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
πŸ‘€
Provider Name / Credentials Updated March 17, 2026

Recorded as TISHARIE NEEDHAM, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 17, 2026

Nurse Practitioner (license number reported to NPPES: GA APRN-NP234785)

πŸ“
Updated Practice Location June 22, 2022

Registered at 1412 MILSTEAD AVE NE, CONYERS, GA 300123877 (Tel: 4046052800)

πŸ“
Updated Practice Location January 11, 2022

Registered at 5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 303421764 (Tel: 0000000000)

πŸ“
Updated Business Mailing Address January 11, 2022

Registered at 5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 303421764

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2022

Registered Nurse (license number reported to NPPES: GA RN234785)

βœ…
NPI Profile Active June 19, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 19, 2021

Registered at 975 SPANISH MOSS TRL, LOGANVILLE, GA 300526733 (Tel: 6784888884)

πŸ“
Business Mailing Address (Initial Record) June 19, 2021

Registered at 975 SPANISH MOSS TRL, LOGANVILLE, GA 300526733 (Tel: 6784888884)

πŸ‘€
Provider Name / Credentials (Initial Record) June 19, 2021

Recorded as TISHARIE NEEDHAM-JACKSON, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2021

Nurse Practitioner (license number reported to NPPES: GA RN234785)

🟒
Initial NPI Registration & Enumeration June 19, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1780253229
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2021
Last Update: March 17, 2026
Sole Proprietor: No

Other Nurse Practitioners in Conyers

All Nurse Practitioners in Conyers

Mailing Address

5665 Peachtree Dunwoody Rd

Atlanta, GA 303421764

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.