Individual provider Active NPI

Enid Matos Tallmer, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1205893062
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00265 Issued in NC
Practice address
7780 Brier Creek Pkwy Ste 306
Raleigh, NC 27617-8831
Phone
(919) 582-7272
NPI assigned
Apr 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-00265 NC Primary

Addresses

Primary practice location

7780 Brier Creek Pkwy Ste 306
Raleigh, NC 27617-8831

Mailing address

7780 Brier Creek Pkwy Ste 306
Raleigh, NC 27617-8831
Phone (919) 582-7272

Other practice location 1

4822 Six Forks Rd
Raleigh, NC 27609-5269
Phone (919) 334-0245

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
I20090406000325 NC Practitioner - Physician Assistant 5597859413 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

609 Richlands Hwy 6
Jacksonville, NC 28540-3606
Phone (910) 455-7888

8312 Creedmoor Rd
Raleigh, NC 27613-1611
Phone (919) 782-0430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medpsych Integrated PLLC PastSince Jan 1, 2019 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: enid.tallmer.1@1905.direct.athenahealth.com

Organizations & group practices 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784073600000",
    "number": "1205893062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178831",
            "telephone_number": "919-582-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7780 BRIER CREEK PKWY STE 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276178831",
            "telephone_number": "919-582-7272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4822 Six Forks Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276095269",
            "country_code": "US",
            "telephone_number": "919-334-0245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TALLMER",
        "first_name": "ENID",
        "middle_name": "MATOS",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.