Active NPI
Patrick Eugene Tarrance Jr., LMSW
- Social Worker
- Dublin, GA
National Provider Identifier
1225536832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW007792
- Practice address
- 1826 Veterans Blvd
Dublin, GA 31021-3620 - Phone
- (478) 272-1210
- Fax
- (478) 274-5585
- NPI assigned
- Jan 29, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW007792 | GA | Primary |
Addresses
Primary practice location
1826 Veterans Blvd
Dublin, GA 31021-3620
Mailing address
444 Forest Hill Rd Apt 205
Macon, GA 31210-4840
Phone (313) 715-1437
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW007792 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1225536832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 FOREST HILL RD APT 205",
"city": "MACON",
"state": "GA",
"postal_code": "312104840",
"telephone_number": "313-715-1437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1826 VETERANS BLVD",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310213620",
"telephone_number": "478-272-1210",
"fax_number": "478-274-5585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TARRANCE",
"first_name": "PATRICK",
"middle_name": "EUGENE",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-01-29",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW007792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.