Provider Demographics
NPI:1154124550
Name:CAUSEY, TOMEKA (CCMA,PT-C,CGSP,CAMS)
Entity type:Individual
Prefix:
First Name:TOMEKA
Middle Name:
Last Name:CAUSEY
Suffix:
Gender:
Credentials:CCMA,PT-C,CGSP,CAMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 479
Mailing Address - Street 2:
Mailing Address - City:AVONDALE ESTATES
Mailing Address - State:GA
Mailing Address - Zip Code:30002-0479
Mailing Address - Country:US
Mailing Address - Phone:404-289-0313
Mailing Address - Fax:404-289-0314
Practice Address - Street 1:1957 LAKESIDE PKWY
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-5881
Practice Address - Country:US
Practice Address - Phone:404-289-0310
Practice Address - Fax:404-289-0314
Is Sole Proprietor?:No
Enumeration Date:2025-03-31
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA171M00000X, 172V00000X
GAF4K5N3S4246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy