Individual provider Active NPI

Tammy Faw Severeide, FNP-C

  • Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1326414137
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5008336 Issued in NC
Practice address
10512 Park Rd
Ste 101
Charlotte, NC 28210-8473
Phone
(704) 542-3631
Fax
(704) 542-3646
NPI assigned
Aug 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 20002RX SC
Nurse Practitioner 363L00000X 20002 SC
Family Nurse Practitioner 363LF0000X 20002 SC
Nurse Practitioner 363L00000X 5008336 NC Primary

Addresses

Primary practice location

10512 Park Rd
Ste 101
Charlotte, NC 28210-8473

Mailing address

PO Box 604350
Charlotte, NC 28260-4350
Phone (704) 333-0741

Other practice location 1

1700 First Baxter Xing Ste 102
Fort Mill, SC 29708-8950
Phone (803) 324-5256

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20160406000560 SC Practitioner - Nurse Practitioner 3971801002 Reassigns benefits to 2 organizations
I20160420002476 NC Practitioner - Nurse Practitioner 3971801002 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Prep II LLCGroup PAC ID 1052835311, shared by 2 NPIs, 47 clinicians

Practice addresses (Care Compare)

1721 Ebenezer Rd
Suite 175
Rock Hill, SC 29732-1188
Phone (803) 324-5256

7300 Carmel Executive Park Dr
Suite 200
Charlotte, NC 28226-1336
Phone (704) 364-8104

Hospital & facility affiliations

  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195
  • Atrium Health Pineville Hospital, Charlotte, NC, CCN 340098
  • Piedmont Medical Center Hospital, Rock Hill, SC, CCN 420002

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5008336NCMDNurse Practitioner
20002SCMDNurse Practitioner
20002RXSCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialists of Charlotte, P.a. CurrentSince Apr 15, 2017 Accepting new patients
Novant Health Prep II LLC CurrentSince Apr 1, 2025 Accepting new patients
Novant Health Prep II LLC Current Accepting new patients
Novant Health Prep II LLC CurrentSince Apr 1, 2025 Accepting new patients
Novant Health Prep II LLC Current Accepting new patients

Locations

7300 Carmel Executive Park Dr
Ste 200
Charlotte, NC 28226
Phone (704) 364-8100

10512 Park Rd
Ste 101
Charlotte, NC 28210
Phone (704) 339-1076

1918 Randolph Rd
Ste 130
Charlotte, NC 28207
Phone (704) 316-6005

1700 1st Baxter Xing
Ste 102
Fort Mill, SC 29708
Phone (704) 342-1900

1721 Ebenezer Rd
Ste 175
Rock Hill, SC 29732
Phone (803) 324-5256

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

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": "1439683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1326414137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 604350",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282604350",
            "telephone_number": "704-333-0741",
            "fax_number": "704-365-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10512 PARK RD",
            "address_2": "STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282108473",
            "telephone_number": "704-542-3631",
            "fax_number": "704-542-3646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 First Baxter Xing Ste 102",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297088950",
            "country_code": "US",
            "telephone_number": "803-324-5256",
            "fax_number": "704-364-8105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAW SEVEREIDE",
        "first_name": "TAMMY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-16",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "20002RX",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "20002",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20002",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5008336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.