Tara Nicole Dollar, PA-C
Individual provider Active NPI Medical Physician Assistant · Grayson, KY
NPI 1013461441 · NPPES record last updated Feb 2, 2023
Key facts
- NPI
- 1013461441
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- TC526 (KY)
- Practice address
- 100 Bellefonte Dr
Grayson, KY 41143-1820 - Phone
- (606) 475-5505
- Fax
- (606) 475-5506
- NPI assigned
- Aug 15, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- University of Kentucky College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ashland Hospital Corporation
Premier Therapy and Health Centers Inc
Practice addresses (Care Compare)
100 Bellefonte Dr
Grayson, KY 41143-1820
Phone (606) 474-0669
10650 US Route 60
Ashland, KY 41102-9611
Phone (606) 408-6301
12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963
710 N Carol Malone Boulevard
Suite a
Grayson, KY 41143-1126
Phone (606) 474-0157
Hospital & facility affiliations
- King'S Daughters' Medical Center HHA
- King'S Daughters' Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.16 of 100
- Quality
- 77.42
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161018003017 | KY | Practitioner - Physician Assistant | 3173811577 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TC526 | KY | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ashland Hospital Corporation | Current |
Accepting new patients | |
| Ashland Hospital Corporation | Current |
Accepting new patients | |
| Ashland Hospital Corporation | Current | Accepting new patients | |
| Ashland Hospital Corporation | Medical | Past | Accepting new patients |
Locations
10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301
12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
609 N Carol Malone Blvd
#100
Grayson, KY 41143
Phone (606) 474-7892
100 Bellefonte Dr
Grayson, KY 41143
Phone (606) 474-0669
Interoperability endpoints
- tjames59067@direct.kdhealth.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | TC526 | KY | Yes |
Addresses
Primary practice location
100 Bellefonte Dr
Grayson, KY 41143-1820
Mailing address
PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200
Other providers in Grayson, KY
- Nathan Curnutte
- Jessica Dale
- Tommy Dearfield Jr.
- Barbara Dickerson
- Diversicare Leasing Corp.
- Meagan Rhea Doyle
- Christopher Dunn
- Emily Dyer
- Kristy Danielle Dyer
- Tyler J. Elam
All providers in Grayson, KY · Medical Physician Assistant in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.