NPIMap

Individual provider Active NPI

Tara Anne Cleary, GNP

  • Gerontology Nurse Practitioner
  • Concord, NC
National Provider Identifier
1548342009
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
F340505 Issued in NY
Practice address
101 Cabarrus Ave E
Concord, NC 28025-3699
Phone
(984) 243-2962
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X F340505 NY Primary
Gerontology Nurse Practitioner 363LG0600X 5009027 NC

Addresses

Primary practice location

101 Cabarrus Ave E
Concord, NC 28025-3699

Mailing address

7004 Bartons Grove PL
Raleigh, NC 27614-7259
Phone (917) 747-7545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170202002053 NC Practitioner - Nurse Practitioner 3072514728 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
New York University School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Eventus Wholehealth PLLCGroup PAC ID 6002169539, 301 clinicians
Eventus WH Southeast, LLCGroup PAC ID 5496294456, 241 clinicians
Duke University Health System, IncGroup PAC ID 2567372345, shared by 22 NPIs, 1,083 clinicians

Practice addresses (Care Compare)

101 Cabarrus Ave E
Suite 200
Concord, NC 28025-3781
Phone (855) 743-2247

212 S Tryon St
Suite 1000
Charlotte, NC 28281-0006
Phone (855) 743-2247

3400 Wake Forest Rd
Raleigh, NC 27609-7317
Phone (919) 954-3965

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F340505NYMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Eventus WH Southeast, LLC CurrentSince Aug 15, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Mar 9, 2026 Accepting new patients
Eventus Value Care, LLC CurrentSince Oct 14, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Mar 9, 2026 Accepting new patients
Eventus Wholehealth, PLLC Gerontology CurrentSince Aug 15, 2025 Accepting new patients
Duke University Health System, Inc. CurrentSince Mar 9, 2026 Accepting new patients
Eventus WH PLLC Care, LLC CurrentSince Sep 1, 2025 Accepting new patients
New Franklin Rehabiliation and Health Care Facility, LLC Past Accepting new patients
RLD Medical Services, PC Past Accepting new patients

Locations

212 S Tryon St
Ste 1000
Charlotte, NC 28281
Phone (512) 575-8028

2810 Coliseum Centre Dr
Ste 120
Charlotte, NC 28217

3643 N Roxboro St
Durham, NC 27704
Phone (919) 470-6186

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000

Interoperability endpoints

  • Direct secure messaging: tara.cleary@418706519228420.direct.elationemr.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1548342009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 BARTONS GROVE PL",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276147259",
            "telephone_number": "917-747-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CABARRUS AVE E",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253699",
            "telephone_number": "984-243-2962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "TARA",
        "middle_name": "ANNE",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "F340505",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5009027",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.