NPIMap

Individual provider Active NPI

Ernesto M Tamez Jr., P.A.

  • Physician Assistant
  • Rockingham, NC
National Provider Identifier
1316091325
Registry record updated Aug 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09276 Issued in NC
Practice address
104 Physicians Park Dr
Rockingham, NC 28379-5204
Phone
(910) 895-1989
Fax
(910) 895-1988
NPI assigned
Jan 23, 2007
Last updated
Aug 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2019

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 0010-09276 NC Primary
Medical Physician Assistant 363AM0700X PA03097 TX

Addresses

Primary practice location

104 Physicians Park Dr
Rockingham, NC 28379-5204

Mailing address

104 Physicians Park Dr
Rockingham, NC 28379-5204
Phone (910) 895-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909001835 NC Practitioner - Physician Assistant 7315276888 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

104 Physicians Park Dr
Rockingham, NC 28379-5204
Phone (910) 895-1989

7473-B Hwy 22
Whispering Pines, NC 28327
Phone (910) 215-5115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
79.14
Promoting interoperability
92
Improvement activities
40
Cost
80.32

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA03097TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-8, LLC Family Medicine CurrentSince Mar 17, 2020 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients
MCPC-8, LLC Family Medicine CurrentSince Mar 17, 2020 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Sep 1, 2019 Accepting new patients

Locations

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

104 Physicians Park Dr
Rockingham, NC 28379
Phone (910) 895-1989

7473 NC 22 Hwy
Whispering Pines, NC 28327
Phone (910) 215-5100

Interoperability endpoints

  • Direct secure messaging: etamez96861@firsthealth.direct-ci.net

Organizations & group practices 5

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 4

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565913600000",
    "number": "1316091325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 PHYSICIANS PARK DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283795204",
            "telephone_number": "910-895-1989",
            "fax_number": "910-895-1988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 PHYSICIANS PARK DR",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283795204",
            "telephone_number": "910-895-1989",
            "fax_number": "910-895-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMEZ",
        "first_name": "ERNESTO",
        "middle_name": "M",
        "name_suffix": "Jr.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2019-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09276",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03097",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.