Tamara Heglar Gentle, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95127 Issued in NC

Practice address

1000 Copperfield Blvd NE Ste 124
Concord, NC 28025-2454

Phone

(704) 688-9641

Fax

(704) 960-4817

NPI assigned

Mar 1, 2006

Last updated

Mar 16, 2023By 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 2

Addresses

Other identifiers 3

Other names 1

• Tamara Heglar Williams Former name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22472/brand/1/csg/1/fhir/r4

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.

• Promed Healthcare, PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1770615114
  Medicare reassignment NPD
• Promed Healthcare, PLLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1750572368
  NPD

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1194792093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SMITH CORNERS BLVD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282693827",
            "telephone_number": "704-688-9650",
            "fax_number": "704-688-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COPPERFIELD BLVD NE STE 124",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280252454",
            "telephone_number": "704-688-9641",
            "fax_number": "704-960-4817"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 W Innes St",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281444152",
            "country_code": "US",
            "telephone_number": "704-637-8040",
            "fax_number": "704-637-9800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GENTLE",
        "first_name": "TAMARA",
        "middle_name": "HEGLAR",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "95127",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900457",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194792093",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN INDIVIDUAL, EFF 2/23/13",
            "identifier": "NCB984A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL MED TAX ID",
            "identifier": "566000156",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "WILLIAMS",
            "middle_name": "HEGLAR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Genesis Family Home
• Genesis Family Home
• Genesis...a New Beginning
• Genoa Healthcare LLC
• Gentle Glide Transportation LLC
• Mary Katherine Gentry, MD
• John Stephen Gerig, M.D.
• Jessica Christine Germaine, LCSW
• Get Rite Transportation LLC
• Miranda Brooke Getman, MS

• Adult Health Nurse Practitioner in Concord, NC
• Providers in Concord, NC by specialty
• Adult Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.