Tara Williams-Matney, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0001137566 Issued in VA

Practice address

20886 Riverside Dr
Grundy, VA 24614-9597

Phone

(276) 935-7515

Fax

(276) 935-4351

NPI assigned

Dec 3, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Tara Suzette Williams Former name

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Nurse Practitioner

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ultra Health Home Care Home health agency, Cedar Bluff, VA, CCN 497611
• Buchanan General Hospital Hospital, Grundy, VA, CCN 490127
• Clinch Valley Medical Center Hospital, Richlands, VA, CCN 490060
• Johnston Memorial Hospital Hospital, Abingdon, VA, CCN 490053

Merit-based Incentive Payment System (MIPS)

Final score

30 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

100

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Riverside Medical Clinic Inc

  • Family Nurse Practitioner
  • Grundy, VA
  • NPI 1508263088
  Medicare reassignment NPD
• Commonwealth Internal Medicine and Pediatrics

  • Internal Medicine Physician
  • Grundy, VA
  • NPI 1235454646
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Buchanan General Hospital, Inc

  • General Acute Care Hospital
  • Grundy, VA
  • NPI 1225036346
  Care Compare affiliation
• Clinch Valley Medical Center Inc.

  • General Acute Care Hospital
  • Richlands, VA
  • NPI 1871534297
  Care Compare affiliation
• Johnston Memorial Hospital, Inc

  • General Acute Care Hospital
  • Abingdon, VA
  • NPI 1104812684
  Care Compare affiliation
• Richlands Home Care, Inc.

  • Home Health Agency
  • Cedar Bluff, VA
  • NPI 1881649358
  Care Compare affiliation

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

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1417192543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1030",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246141030",
            "telephone_number": "276-935-7515",
            "fax_number": "276-935-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20886 RIVERSIDE DR",
            "city": "GRUNDY",
            "state": "VA",
            "postal_code": "246149597",
            "telephone_number": "276-935-7515",
            "fax_number": "276-935-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-MATNEY",
        "first_name": "TARA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-03",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "5876P",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0001137566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "WILLIAMS",
            "middle_name": "SUZETTE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Virginia Medical and Respiratory Equipment, Inc.
• Tanner Keith Wagner
• Wal-Mart Stores East LP
• Walgreen Co
• Marsha Danette Whited, FNP-BC
• Jonathan Ryan Woods, PHARMD., RPH.
• Joseph T Yates, PHARMD

• Nurse Practitioner in Grundy, VA
• Providers in Grundy, VA by specialty
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.