Individual provider Active NPI

Tasmia Bano, PA-C

  • Physician Assistant
  • Thomasville, NC
National Provider Identifier
1306717814
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-15985 Issued in NC
Practice address
6010 Ball Park Rd
Thomasville, NC 27360-7921
Phone
(336) 929-2656
NPI assigned
Sep 16, 2025
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 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 0010-15985 NC Primary

Addresses

Primary practice location

6010 Ball Park Rd
Thomasville, NC 27360-7921

Mailing address

6010 Ball Park Rd
Thomasville, NC 27360-7921
Phone (336) 929-2656

Other practice location 1

4515 Premier Dr Ste 201
High Point, NC 27265-8356
Phone (336) 802-2610

Other practice location 2

1814 Westchester Dr Ste 203A
High Point, NC 27262-7369
Phone (336) 702-1355

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
I20260209001206 NC Practitioner - Physician Assistant 9931688116 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1814 Westchester Dr
Suite 203
High Point, NC 27262-7369
Phone (336) 702-1355

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-15985NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Feb 23, 2026 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Mar 1, 2026 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Mar 1, 2026 Accepting new patients

Locations

1814 Westchester Dr
Ste 203
High Point, NC 27262
Phone (336) 702-1355

4515 Premier Dr
Ste 201
High Point, NC 27265
Phone (336) 802-2610

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1306717814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BALL PARK RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273607921",
            "telephone_number": "336-929-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BALL PARK RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273607921",
            "telephone_number": "336-929-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4515 Premier Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272658356",
            "country_code": "US",
            "telephone_number": "336-802-2610",
            "fax_number": "336-802-2611",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1814 Westchester Dr Ste 203A",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627369",
            "country_code": "US",
            "telephone_number": "336-702-1355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANO",
        "first_name": "TASMIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-15985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.