Individual provider Active NPI

Nancy Sweatt Tallent, PA-C

  • Physician Assistant
  • Hickory, NC
National Provider Identifier
1245535574
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
129960 Issued in IA
Practice address
116 3Rd St NW Ste 102
Hickory, NC 28601-6137
Phone
(828) 855-1192
Fax
(828) 358-0832
NPI assigned
Jan 18, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05255 NC
Physician Assistant 363A00000X 129960 IA Primary

Addresses

Primary practice location

116 3Rd St NW Ste 102
Hickory, NC 28601-6137

Mailing address

PO Box 2268
Hickory, NC 28603-2268
Phone (828) 855-1192

Other identifiers 1

IdentifierTypeStateIssuer
790246AMedicaidNC

Other names 1

  • Nancy Lord Sweatt Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ntallent515211@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, SC, NC, WA, IA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20110818000919 VA Practitioner - Physician Assistant 4587834007 Reassigns benefits to 2 organizations
I20130218000060 SC Practitioner - Physician Assistant 4587834007 Reassigns benefits to 4 organizations
I20151116002724 NC Practitioner - Physician Assistant 4587834007 Reassigns benefits to 9 organizations
I20250317002479 WA Practitioner - Physician Assistant 4587834007 Reassigns benefits to 3 organizations
I20250318001587 IA Practitioner - Physician Assistant 4587834007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Intensivist Services PCGroup PAC ID 9335152107, 234 clinicians
Northwest Hospital Medicine Physicians LLCGroup PAC ID 6406805449, 67 clinicians

Practice addresses (Care Compare)

1401 Johnston Willis Dr
North Chesterfield, VA 23235-4730
Phone (804) 483-5000

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-8181

3810 Plaza Way
Kennewick, WA 99338-2722
Phone (509) 221-7000

520 N 4TH Ave
Pasco, WA 99301-5257
Phone (509) 547-7704

Hospital & facility affiliations

  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115
  • Lourdes Medical Center Hospital, Pasco, WA, CCN 501337
  • Trios Health Hospital, Kennewick, WA, CCN 500053
  • Wilson Medical Center Hospital, Wilson, NC, CCN 340126
  • Lourdes Medical Center Inpatient rehabilitation facility, Pasco, WA, CCN 50R337

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129960IAMDPhysician Assistant
0010-05255NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gastonia Physician Services, PLLC CurrentSince Apr 26, 2016 Accepting new patients
Gastonia Physician Services, PLLC CurrentSince Apr 26, 2016 Accepting new patients
Hospital Based Medical Services of Tennessee-I PC Physician Assistant Past Accepting new patients
Springs Road Consulting LLC PastSince Dec 28, 2022 Accepting new patients
Rex Hospital Inc Past Accepting new patients
Southern Living Emergency Physicians LLC Physician Assistant Past Accepting new patients

Locations

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

Interoperability endpoints

  • Direct secure messaging: ntallent515211@direct.unc.nchie.net
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 24

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.

View all 24

Hospital & facility affiliations 7

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": "1295308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1245535574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2268",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286032268",
            "telephone_number": "828-855-1192",
            "fax_number": "828-358-0832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 3RD ST NW STE 102",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286016137",
            "telephone_number": "828-855-1192",
            "fax_number": "828-358-0832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLENT",
        "first_name": "NANCY",
        "middle_name": "SWEATT",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-18",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05255",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "129960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "790246A",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ntallent515211@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "3050 Duraleigh Rd Ste 111",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276125451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SWEATT",
            "middle_name": "LORD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.