Active NPI
Tameka Roman Irvin, FNP
- Nurse Practitioner
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 19151
- Practice address
- 101 E Wood St
Spartanburg, SC 29303-3040 - Phone
- (864) 560-6012
- Fax
- (864) 560-6013
- NPI assigned
- Nov 18, 2014
- Last updated
- Apr 25, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 19151 | SC | Primary |
| Clinical Nurse Specialist | 364S00000X | 19151 | SC | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | CNS-00255 | NM | |
| Adult Health Clinical Nurse Specialist | 364SA2200X | 19151 | SC | |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 19151 | SC |
Addresses
Primary practice location
101 E Wood St
Spartanburg, SC 29303-3040
Mailing address
PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304
Other practice location 1
90 Southside Ave Ste 350
Asheville, NC 28801-4184
Phone (828) 277-4810
Other practice location 2
90 Southside Ave Ste 350
Asheville, NC 28801-4184
Phone (828) 277-4810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP3016 | Medicaid | SC | |
| SC48035019 | Other | SC | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Hawthorne Park CT
Greenville, SC 29615-3194
Phone (864) 535-5381
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.7 of 100
- Quality
- 89.4
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19151 | SC | MD | Adult Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Health Providers of America, LLC | Current | Accepting new patients | |
| Medcare Express - North Charleston LLC | Current | Accepting new patients | |
| Anmed Urgent Care LLC | Current | Accepting new patients | |
| Dynamic Healthcare at Home | Current | Accepting new patients | |
| Spartanburg Regional Med Ctr | Current | Accepting new patients | |
| Medcare Urgent Care Center - Anderson LLC | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Spartanburg Medical Center | Current | Accepting new patients | |
| Inpatient Consultants of North Carolina, PC | Nurse Practitioner | Past | Accepting new patients |
Locations
801 N Fant St
Anderson, SC 29621
Phone (864) 261-8000
10136 Two Notch Rd
Ste 104
Columbia, SC 29229
Phone (803) 509-7570
7418 Garners Ferry Rd
Columbia, SC 29209
Phone (803) 509-6310
20 Hawthorne Park Ct
Greenville, SC 29615
Phone (864) 288-6775
8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629
101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915
301 E Wood St
Spartanburg, SC 29303
Phone (843) 576-5246
686 Jeff Davis Dr
Spartanburg, SC 29303
Phone (864) 560-5620
853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928
1675 N Main St
Summerville, SC 29486
Phone (843) 285-2169
110 Medical Cir
West Columbia, SC 29169
Phone 8035097316 ext. 94514
Organizations & group practices 9
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.
-
dba Medcare Urgent Care
- Urgent Care Clinic/Center
- Charleston, SC
- NPI 1457579617
-
dba Medical Group of the Carolinas - Emergency Medicine
- Emergency Medicine Physician
- Spartanburg, SC
- NPI 1699729939
-
- Urgent Care Clinic/Center
- Anderson, SC
- NPI 1689004095
-
dba Medical Group of the Carolinas Pain Management Wood Street
- Physical Medicine & Rehabilitation Physician
- Spartanburg, SC
- NPI 1942188875
-
dba Spartanburg Internal Medicine at Village of Pelham
- Internal Medicine Physician
- Greer, SC
- NPI 1679504187
-
- Internal Medicine Physician
- Kannapolis, NC
- NPI 1669422846
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650844800000",
"number": "1427454479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743070",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743070",
"telephone_number": "864-560-4304",
"fax_number": "864-560-4413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E WOOD ST",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293033040",
"telephone_number": "864-560-6012",
"fax_number": "864-560-6013"
}
],
"practiceLocations": [
{
"address_1": "90 Southside Ave Ste 350",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288014184",
"country_code": "US",
"telephone_number": "828-277-4810",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "90 Southside Ave Ste 350",
"address_purpose": "LOCATION",
"city": "Asheville",
"state": "NC",
"postal_code": "288014184",
"country_code": "US",
"telephone_number": "828-277-4810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "IRVIN",
"first_name": "TAMEKA",
"middle_name": "ROMAN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-18",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "19151",
"primary": true
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "SC",
"license": "19151",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "NM",
"license": "CNS-00255",
"primary": false
},
{
"code": "364SA2200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Adult Health",
"state": "SC",
"license": "19151",
"primary": false
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "SC",
"license": "19151",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NP3016",
"state": "SC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "SC48035019",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.