NPIMap

Individual provider Active NPI

Kara Coleman, DO

  • Family Medicine Physician
  • Clarksville, TN
National Provider Identifier
1558740415
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4268 Issued in TN
Practice address
1000 Highway 76
Clarksville, TN 37043-8405
Phone
(931) 245-1150
Fax
(931) 245-1153
NPI assigned
May 26, 2015
Last updated
May 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A17402 CA
Family Medicine Physician 207Q00000X 4268 TN Primary

Addresses

Primary practice location

1000 Highway 76
Clarksville, TN 37043-8405

Mailing address

1000 Highway 76
Clarksville, TN 37043-8405
Phone (931) 245-1150

Other practice location 1

501 Lighthouse Ave
Monterey, CA 93940-1439
Phone (831) 649-0770

Other names 1

  • Kara Eberhardt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, CA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181018002987 NC Practitioner - Family Practice 5698066090 Reassigns benefits to 1 organization
I20190731000859 CA Practitioner - Family Practice 5698066090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Arizona College of Osteopathic Medicine Mid Western University, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Wilson, NC 27893-8620
Phone (252) 243-6818

8 Regional Cir
Pinehurst, NC 28374-9796
Phone (910) 215-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4268TNMDPharmacist
20A17402CAMDFamily Medicine Physician
17402CAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Medical Clinic, Inc. Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Jul 22, 2019 Accepting new patients
Marina Doctors on Duty Past Accepting new patients
Monterey Doctors on Duty PastSince Jul 22, 2019 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

8 Regional Cir
Pinehurst, NC 28374
Phone (910) 215-5555

1411 Greenway Ct
Sanford, NC 27330
Phone (919) 292-1878

555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518

Interoperability endpoints

  • Direct secure messaging: karacoleman@phmc.allscriptsdirect.net
  • Direct secure messaging: kcoleman10241@capefearvalley.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1558740415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438405",
            "telephone_number": "931-245-1150",
            "fax_number": "931-245-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HIGHWAY 76",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370438405",
            "telephone_number": "931-245-1150",
            "fax_number": "931-245-1153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Lighthouse Ave",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939401439",
            "country_code": "US",
            "telephone_number": "831-649-0770",
            "fax_number": "831-649-0142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "KARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A17402",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "4268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARA",
            "last_name": "EBERHARDT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clarksville, TN

Sources for this page

Verify at the official NPI Registry.