Individual provider Active NPI

Tamon Berber Paige, M.D.

  • Psychiatry Physician
  • Pineville, MO
National Provider Identifier
1104807635
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MO116659 Issued in MO
Practice address
5265 S Business 71
Ste a
Pineville, MO 65865
Phone
(417) 223-5300
NPI assigned
Nov 10, 2005
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MO116659 MO Primary

Addresses

Primary practice location

5265 S Business 71
Ste a
Pineville, MO 65865

Mailing address

PO Box 2526
Joplin, MO 64803-2526
Phone (417) 347-7600

Other practice location 1

3901 E 32nd St
Joplin, MO 64804-3312
Phone (417) 347-7567

Other practice location 2

932 E 34th St
Joplin, MO 64804-3932
Phone (417) 347-5200

Other practice location 3

307 W 11th St
LaMar, MO 64759-1428
Phone (417) 347-8010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031119000906 MO Practitioner - Psychiatry 6103720420 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ozark CenterGroup PAC ID 4789588088, 38 clinicians

Practice addresses (Care Compare)

5265 S Business Hwy 71
Suite a
Pineville, MO 64856-8203
Phone (417) 347-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
116659MOMDClinical Psychologist
MO116659MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Nov 1, 2009 Accepting new patients
Ozark Center CurrentSince Mar 4, 2024 Accepting new patients
Ozark Center CurrentSince Mar 4, 2024 Accepting new patients
Freeman Surgical Center of Pittsburg, LLC Current Accepting new patients
County of Crawford PastSince Jan 1, 1990 Accepting new patients
Community Mental Health Center of Crawford County PastSince Jan 1, 1990 Accepting new patients
Addiction Treatment Center of Southeast Kansas PastSince Jan 1, 1990 Accepting new patients
Renewal House PastSince Jan 1, 1990 Accepting new patients
College Skyline Center LLC PastSince Feb 1, 2010 Accepting new patients
Community Mental Health Center of Crawford County PastSince Jan 1, 1990 Accepting new patients
Coummunity Mental Health Center of Crawford County PastSince Jan 1, 1990 Accepting new patients
William J. Klontz M.D. Inc. Psychiatry Past Accepting new patients
County of Crawford PastSince Jan 1, 1990 Accepting new patients

Locations

3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121

3125 Dr Russell Smith Way
Rm 1818
Carthage, MO 64836
Phone (417) 781-7337

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

1905 W 32nd St
Ste 208
Joplin, MO 64804
Phone (417) 625-2312

3901 E 32nd St
Joplin, MO 64804
Phone (417) 347-7567

5615 W 32nd St
Joplin, MO 64804
Phone (417) 262-6175

932 E 34th St
Joplin, MO 64804
Phone (417) 347-7603

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

5265 S Business Highway 71
Ste A
Pineville, MO 64856
Phone (417) 223-5300

Interoperability endpoints

  • Direct secure messaging: tpaige192262@directb.mercy.net

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1104807635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2526",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648032526",
            "telephone_number": "417-347-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5265 S BUSINESS 71",
            "address_2": "STE A",
            "city": "PINEVILLE",
            "state": "MO",
            "postal_code": "65865",
            "telephone_number": "417-223-5300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 E 32nd St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043312",
            "country_code": "US",
            "telephone_number": "417-347-7567",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 E 34th St",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648043932",
            "country_code": "US",
            "telephone_number": "417-347-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "307 W 11th St",
            "address_purpose": "LOCATION",
            "city": "LaMar",
            "state": "MO",
            "postal_code": "647591428",
            "country_code": "US",
            "telephone_number": "417-347-8010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "TAMON",
        "middle_name": "BERBER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "MO116659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pineville, MO

Sources for this page

Verify at the official NPI Registry.