Individual provider Active NPI

Tamika Jo Lott, MD

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1386791879
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64138 Issued in GA
Practice address
300 W Northwood St
Greensboro, NC 27401-1324
Phone
(336) 355-9696
Fax
(336) 676-6170
NPI assigned
Jan 5, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200400230 NC
Family Medicine Physician 207Q00000X 64138 GA Primary

Addresses

Primary practice location

300 W Northwood St
Greensboro, NC 27401-1324

Mailing address

979 Glenwood Ave SE
Atlanta, GA 30316-1815
Phone (336) 314-0186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20081122000180 NC Practitioner - Family Practice 3678633591 Reassigns benefits to 3 organizations
I20150127000722 FL Practitioner - Family Practice 3678633591 Reassigns benefits to 1 organization
I20240117000175 GA Practitioner - Family Practice 3678633591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rutgers, Robert Woood Johnson Medical School, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adventhealth Primary Care Network IncGroup PAC ID 1557722410, 428 clinicians

Practice addresses (Care Compare)

3515 SE 17TH St
Suite 100
Ocala, FL 34471-5588
Phone (352) 509-9165

661 E Altamonte Dr
Suite 115
Altamonte Springs, FL 32701-5102
Phone (407) 831-4040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64138GAMDFamily Medicine Physician
200400230NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
AIDS Healthcare Foundation CurrentSince Dec 13, 2023 Accepting new patients
Wellstar Medical Group, LLC Family Medicine Current Accepting new patients
Triad Adult and Pediatric Medicine, Inc. Family Medicine CurrentSince Nov 5, 2024 Accepting new patients
Carolinaeast Physicians CurrentSince Apr 4, 2022 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Jul 6, 2024 Accepting new patients
AIDS Healthcare Foundation CurrentSince Dec 13, 2023 Accepting new patients
Carolinaeast Physicians Family Medicine CurrentSince Apr 4, 2022 Accepting new patients
Adventhealth Primary Care Network Inc Family Medicine CurrentSince Jan 26, 2026 Accepting new patients
Carolinaeast Physicians Family Medicine Current Accepting new patients
Carolina Medicorp Enterprises, LLC Past Accepting new patients
Southern Regional Physicians Management Group, LLC PastSince Feb 1, 2025 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

661 E Altamonte Dr
Ste 115
Altamonte Springs, FL 32701
Phone (407) 831-4040

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

3515 SE 17th St
Ste 100
Ocala, FL 34471
Phone (352) 509-9165

1438 W Peachtree St NW
Atlanta, GA 30309
Phone (470) 283-7349

735 Piedmont Ave NE
Atlanta, GA 30308
Phone (404) 588-4680

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

562 Concord Rd SE
Smyrna, GA 30082
Phone (770) 384-9830

1002 S Eugene St
Greensboro, NC 27406
Phone (336) 271-5999

532 Webb Blvd
Havelock, NC 28532
Phone (252) 447-7088

Organizations & group practices 12

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1386791879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 GLENWOOD AVE SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303161815",
            "telephone_number": "336-314-0186",
            "fax_number": "336-717-0711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W NORTHWOOD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011324",
            "telephone_number": "336-355-9696",
            "fax_number": "336-676-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTT",
        "first_name": "TAMIKA",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200400230",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "64138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.