NPIMap

Individual provider Active NPI

Tara Nicole Coady

  • Student in an Organized Health Care Education/Training Program
  • Monroe, NC
National Provider Identifier
1356082499
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
1106 Reynolds St Ste 100
Monroe, NC 28112-4376
Phone
(704) 289-5443
Fax
(704) 283-7655
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

1106 Reynolds St Ste 100
Monroe, NC 28112-4376

Mailing address

724 Bayshore Dr
Loda, IL 60948-9738

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
I20251021004434 NC Practitioner - Family Practice 2567839343 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians
The Charlotte-Mecklenburg Hospital AuthorityGroup PAC ID 2961310685, 594 clinicians

Practice addresses (Care Compare)

1106 Reynolds St
Suite 100
Monroe, NC 28112-4376
Phone (704) 289-5443

2301 US Hwy 74 W
Wadesboro, NC 28170-7554
Phone (704) 994-4900

Hospital & facility affiliations

  • Atrium Health Anson Hospital, Wadesboro, NC, CCN 340084
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Atrium Health Union Hospital, Monroe, NC, CCN 340130

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Oct 5, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Oct 5, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 5, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 5, 2025 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Past Accepting new patients

Locations

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1106 Reynolds St
Ste 100
Monroe, NC 28112
Phone (704) 289-5443

2301 US Highway 74 W
Wadesboro, NC 28170
Phone (704) 694-5131

Interoperability endpoints

  • Direct secure messaging: tcoady839054@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: tara.coady.1@17278.direct.athenahealth.com

Organizations & group practices 7

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 8

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1356082499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 BAYSHORE DR",
            "city": "LODA",
            "state": "IL",
            "postal_code": "609489738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 REYNOLDS ST STE 100",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124376",
            "telephone_number": "704-289-5443",
            "fax_number": "704-283-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COADY",
        "first_name": "TARA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

Sources for this page

Verify at the official NPI Registry.