Active NPI
Tammy Graves Ward, FNP-C
- Family Nurse Practitioner
- Monroe, NC
National Provider Identifier
1578129151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5011699
- Practice address
- 404 S Sutherland Ave
Monroe, NC 28112-5060 - Phone
- (704) 291-9267
- NPI assigned
- May 19, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 5011699 | NC | |
| Family Nurse Practitioner | 363LF0000X | 5011699 | NC | Primary |
Addresses
Primary practice location
404 S Sutherland Ave
Monroe, NC 28112-5060
Mailing address
2070 Ben Black Rd
Midland, NC 28107-7266
Phone (704) 254-8268
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5011699 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Quickcare Family Practice, PLLC | Current | Accepting new patients | |
| Curana Health of North Carolina PLLC | Current | Accepting new patients | |
| Welcome Mat Health, Inc. | Current | Accepting new patients | |
| Physicians Eldercare PA | Current | Accepting new patients |
Locations
2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054
935 N Bridge St
Elkin, NC 28621
Phone (336) 391-9058
4612 Main St
Shallotte, NC 28470
Phone (910) 444-2970
4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Biscoe, NC
- NPI 1881360899
-
- Internal Medicine Physician
- Durham, NC
- NPI 1770217176
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
-
- Community/Behavioral Health Agency
- Elkin, NC
- NPI 1083493308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1578129151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2070 BEN BLACK RD",
"city": "MIDLAND",
"state": "NC",
"postal_code": "281077266",
"telephone_number": "704-254-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 S SUTHERLAND AVE",
"city": "MONROE",
"state": "NC",
"postal_code": "281125060",
"telephone_number": "704-291-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "TAMMY",
"middle_name": "GRAVES",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-19",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5011699",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5011699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.