Active NPI
Tamara Doran, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Rock Hill, SC
National Provider Identifier
1356997597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5012491
- Practice address
- 223 Hillcrest Ave
Rock Hill, SC 29732-1026 - Phone
- (803) 526-9043
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5012491 | NC | Primary |
| Family Medicine Physician | 207Q00000X | F08190356 | SC |
Addresses
Primary practice location
223 Hillcrest Ave
Rock Hill, SC 29732-1026
Mailing address
PO Box 249
Yadkinville, NC 27055-0249
Phone (336) 679-4963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F08190356 | SC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BRMG-PC | Family Medicine | Current | Accepting new patients |
Locations
640 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 526-7997
905 Rockford St
Mount Airy, NC 27030
Phone (336) 648-8200
108 S State St
Yadkinville, NC 27055
Phone (336) 679-2733
Interoperability endpoints
- tamara.doran@49412312072196.direct.elationemr.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573084800000",
"number": "1356997597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 249",
"city": "YADKINVILLE",
"state": "NC",
"postal_code": "270550249",
"telephone_number": "336-679-4963",
"fax_number": "336-679-2549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "223 HILLCREST AVE",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297321026",
"telephone_number": "803-526-9043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORAN",
"first_name": "TAMARA",
"credential": "MSN, APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-14",
"last_updated": "2019-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5012491",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "F08190356",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.