Individual provider Active NPI

Martu Tennih Tamba, NP

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1124323316
Registry record updated Apr 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5011136 Issued in NC
Practice address
3404 Ashley View Dr
Charlotte, NC 28213-4951
Phone
(216) 262-0524
NPI assigned
Jan 19, 2011
Reactivated
Sep 21, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5011136 NC Primary

Addresses

Primary practice location

3404 Ashley View Dr
Charlotte, NC 28213-4951

Mailing address

3404 Ashley View Dr
Charlotte, NC 28213-4951
Phone (216) 262-0524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190617001742 NC Practitioner - Nurse Practitioner 7911230313 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
M Medical NC PLLCGroup PAC ID 3870035066, 32 clinicians
Physicians Eldercare PAGroup PAC ID 0648184705, 236 clinicians
Curana Health of North Carolina PLLCGroup PAC ID 1850774332, 274 clinicians
Vitae Health Medical North Carolina PLLCGroup PAC ID 7719317932, 41 clinicians

Practice addresses (Care Compare)

1735 Toddville Rd
Charlotte, NC 28214-2436
Phone (410) 870-9380

5306 NC Hwy 55
Suite 105
Durham, NC 27713-7812
Phone (337) 991-9276

550 Glenwood Dr
Mooresville, NC 28115-2876
Phone (704) 664-7494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pai Participant 29, P.C. CurrentSince Sep 23, 2025 Accepting new patients
M Medical NC PLLC CurrentSince Apr 15, 2025 Accepting new patients
Reliant Housecalls, PLLC CurrentSince Sep 1, 2025 Accepting new patients
Vitae Health Medical North Carolina, PLLC CurrentSince Mar 1, 2022 Accepting new patients
Curana Health of North Carolina PLLC CurrentSince Feb 10, 2026 Accepting new patients
Physicians Eldercare PA CurrentSince Feb 10, 2026 Accepting new patients
Tu-Cares Non Emergent Transport Past Accepting new patients

Locations

9722 Groffs Mill Dr
Owings Mills, MD 21117
Phone (410) 205-9255

1735 Toddville Rd
Charlotte, NC 28214
Phone (704) 394-4001

5306 NC Highway 55
Ste 105
Durham, NC 27713
Phone (919) 457-1517

17 Cornelia St
Lexington, NC 27292
Phone (336) 242-1349

550 Glenwood Dr
Mooresville, NC 28115
Phone (704) 644-4797

1287 Newsome St
Mount Airy, NC 27030
Phone (336) 786-2133

635 Statesville Blvd
Salisbury, NC 28144
Phone (704) 633-7390

710 Julian Rd
Salisbury, NC 28147
Phone (704) 636-5812

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFACCA

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649376000000",
    "number": "1124323316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 ASHLEY VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134951",
            "telephone_number": "216-262-0524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 ASHLEY VIEW DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134951",
            "telephone_number": "216-262-0524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBA",
        "first_name": "MARTU",
        "middle_name": "TENNIH",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-19",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "deactivation_date": "2011-03-02",
        "reactivation_date": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.