Raymond Tanwani Tah, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5009800 Issued in NC

Practice address

9159 Perseverance Dr
Harrisburg, NC 28075-8388

Phone

(786) 302-6062

NPI assigned

Aug 8, 2017

Last updated

Jan 26, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Trinity Healthcare Consultants, PLLC, LTD

  dba Marula Health

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1275259434
  Medicare reassignment NPD Authorized official
• Charlotte Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1528363868
  Medicare reassignment NPD
• Gapover MD, PLLC

  • Family Medicine Physician
  • Charlotte, NC
  • NPI 1114370988
  Medicare reassignment NPD
• Charlotte Community Health Clinic, Inc.

  • Federally Qualified Health Center (FQHC)
  • Charlotte, NC
  • NPI 1073367249
  NPD

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1518482710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9159 PERSEVERANCE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758388",
            "telephone_number": "980-258-0125",
            "fax_number": "980-258-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9159 PERSEVERANCE DR",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280758388",
            "telephone_number": "786-302-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAH",
        "first_name": "RAYMOND",
        "middle_name": "TANWANI",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-08",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NC",
            "license": "251632",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5009800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steady Path Services LLC
• Donna Stegall, OTR/L
• Taylor Holeman Stewart, FNP-C
• Jason C. Strein, D.D.S.
• Theodore Franklin Suggs, M.D.
• Tajax Compassionate Care Network (Care At Home Solutions)
• Tanderson Health and Wellness Solutions
• Taylor Randich, OD, PLLC
• Kristin Taylor, P.T.
• Leslie Carol Taylor, PA-C

• Family Nurse Practitioner in Harrisburg, NC
• Providers in Harrisburg, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.