Provider Demographics
NPI:1366450736
Name:FRANK, TAWNI A (MD)
Entity Type:Individual
Prefix:DR
First Name:TAWNI
Middle Name:A
Last Name:FRANK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:925 N POINT PKWY
Mailing Address - Street 2:SUITE 425
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-5210
Mailing Address - Country:US
Mailing Address - Phone:877-562-8656
Mailing Address - Fax:
Practice Address - Street 1:925 N POINT PKWY
Practice Address - Street 2:SUITE 425
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5210
Practice Address - Country:US
Practice Address - Phone:877-562-8656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-03
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010292652084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89067CCMedicaid
VAP00373909OtherMEDICARE RAILROAD
VA238797OtherANTHEM BC/BS
C47418Medicare UPIN
VA238797OtherANTHEM BC/BS
VA491869Medicare Oscar/Certification