Individual provider Active NPI

Tasha Olivia Thomas, CNM

  • Advanced Practice Midwife
  • Carthage, NY
National Provider Identifier
1407495682
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
300 Issued in NC
Practice address
1001 West St
Carthage, NY 13619-9703
Phone
(315) 493-1000
NPI assigned
Jan 5, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 300 NC Primary

Addresses

Primary practice location

1001 West St
Carthage, NY 13619-9703

Mailing address

PO Box 40908
Fayetteville, NC 28309-0908
Phone (910) 615-6949

Other practice location 1

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-6949

Other practice location 2

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 615-5590

Other practice location 3

117 N Mechanic St
Carthage, NY 13619-1252
Phone (315) 493-3100

Other practice location 4

1201 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 609-3840

Other names 1

  • Miss Tasha Olivia Campbell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200604000816 NY Practitioner - Certified Nurse Midwife (CNM) 0042631798 Reassigns benefits to 2 organizations
I20260107003210 NC Practitioner - Certified Nurse Midwife (CNM) 0042631798 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1638 Owen Dr
Fayetteville, NC 28304-3431

PO Box
Suite 40908
Fayetteville, NC 28309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
001993NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Womens Health SVC CurrentSince May 1, 2020 Accepting new patients
Cumberland County Hospital System Inc Advanced Practice Midwife CurrentSince Sep 22, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Sep 22, 2025 Accepting new patients
Carthage Area Hospital Inc. CurrentSince May 1, 2020 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Sep 22, 2025 Accepting new patients
Carthage Area Hospital Inc Current Accepting new patients
Hoke Healthcare, LLC CurrentSince Sep 22, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC CurrentSince Sep 22, 2025 Accepting new patients
Hoke Healthcare LLC CurrentSince Sep 22, 2025 Accepting new patients
Carthage Area Hospital Inc CurrentSince May 1, 2020 Accepting new patients
Cape Fear Valley Health Medical Group LLC Past Accepting new patients
David P Locastro, MD, PC PastSince May 1, 2020 Accepting new patients

Locations

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1341 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-3500

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

1201 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 323-4733

300 Medical Pavilion Dr
#25
Raeford, NC 28376
Phone (910) 904-8035

300 Medical Pavilion Dr
Ste 250
Raeford, NC 28376
Phone (910) 904-8035

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

117 N Mechanic St
Carthage, NY 13619
Phone (315) 493-3100

622 Washington St
Watertown, NY 13601
Phone (315) 685-7943

Interoperability endpoints

  • Direct secure messaging: tasha.thomas.1@29536.direct.athenahealth.com

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1578182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1407495682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40908",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283090908",
            "telephone_number": "910-615-6949",
            "fax_number": "910-615-9761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 WEST ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136199703",
            "telephone_number": "315-493-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-6949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-615-5590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "117 N Mechanic St",
            "address_purpose": "LOCATION",
            "city": "Carthage",
            "state": "NY",
            "postal_code": "136191252",
            "country_code": "US",
            "telephone_number": "315-493-3100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Walter Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044437",
            "country_code": "US",
            "telephone_number": "910-609-3840",
            "fax_number": "910-615-9665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TASHA",
        "middle_name": "OLIVIA",
        "name_prefix": "Mrs.",
        "credential": "CNM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-05",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TASHA",
            "last_name": "CAMPBELL",
            "middle_name": "OLIVIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carthage, NY

Sources for this page

Verify at the official NPI Registry.