Tamara Powell, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD21458 Issued in OR

Practice address

1690 NE Lynda LN
Grants Pass, OR 97526-3599

Phone

(541) 476-3000

Fax

(541) 479-5101

NPI assigned

Jul 1, 2005

Last updated

Apr 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Dec 30, 2019 through Dec 30, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586044800000",
    "number": "1073510228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1690 NE LYNDA LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263599",
            "telephone_number": "541-476-3000",
            "fax_number": "541-479-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 NE LYNDA LN",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975263599",
            "telephone_number": "541-476-3000",
            "fax_number": "541-479-5101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TAMARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-04-05",
        "certification_date": "2020-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD21458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130020",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Kaye Potter
• Tamilyn Potts
• Jade Poulain
• Sara J Pourchot, SLP
• Jane Powell, MA; LPC; NCC
• Theo Herbert Powell, M.D.
• William Carrington Powell Jr., LCSW
• Practical Psychiatry LLC
• Megan Ilene Pratt, CPM,LDM
• Precise Touch Physical Therapy LP (Mountain View Physical Therapy of Grants Pass)

• Family Medicine Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.