Individual provider Active NPI

Tameka Roman Irvin, FNP

  • Nurse Practitioner
  • Spartanburg, SC
National Provider Identifier
1427454479
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
19151 Issued in SC
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
NP3016MedicaidSC
SC48035019OtherSCMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150120001159 SC Practitioner - Certified Clinical Nurse Specialist (CNS) 5991029068 Reassigns benefits to 4 organizations

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
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
19151SCMDAdult Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Health Providers of America, LLC CurrentSince Aug 14, 2023 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince May 20, 2019 Accepting new patients
Anmed Urgent Care LLC CurrentSince Jan 24, 2025 Accepting new patients
Dynamic Healthcare at Home Current Accepting new patients
Spartanburg Regional Med Ctr CurrentSince Oct 27, 2014 Accepting new patients
Medcare Urgent Care Center - Anderson LLC CurrentSince May 20, 2019 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center CurrentSince Oct 27, 2014 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.

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

Verify at the official NPI Registry.