NPIMap

Individual provider Active NPI

Jarred Paul Tanksley, M.D.

  • Therapeutic Radiology Physician
  • Sylva, NC
National Provider Identifier
1609253038
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
2020-02071 Issued in NC
Practice address
14 Medical Park Loop
Sylva, NC 28779-5221
Phone
(828) 586-7610
Fax
(828) 586-7615
NPI assigned
May 6, 2015
Last updated
May 15, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Therapeutic Radiology Physician 2085R0203X 2020-02071 NC Primary

Addresses

Primary practice location

14 Medical Park Loop
Sylva, NC 28779-5221

Mailing address

14 Medical Park Loop
Sylva, NC 28779-5221
Phone (828) 586-7610

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
I20200617001835 NC Practitioner - Radiation Oncology 7618269416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Vanderbilt University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

262 Leroy George Dr
Clyde, NC 28721-7430
Phone (828) 452-8651

68 Hospital Rd
Sylva, NC 28779-2722
Phone (828) 586-7389

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Harris Regional Hospital LLC CurrentSince Jan 1, 2022 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Dec 23, 2024 Accepting new patients
DLP Western Carolina Physician Practices LLC Diagnostic Radiology CurrentSince Dec 23, 2024 Accepting new patients

Locations

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

14 Medical Park Loop
Sylva, NC 28779
Phone (828) 586-7610

68 Hospital Rd
Sylva, NC 28779
Phone (828) 586-7351

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Interoperability endpoints

  • Direct secure messaging: jarred.tanksley.1@9865.direct.athenahealth.com
  • Direct secure messaging: jtanksley@westcare.direct.varian.com

Organizations & group practices 3

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 5

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": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1609253038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 MEDICAL PARK LOOP",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795221",
            "telephone_number": "828-586-7610",
            "fax_number": "828-586-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 MEDICAL PARK LOOP",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "287795221",
            "telephone_number": "828-586-7610",
            "fax_number": "828-586-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANKSLEY",
        "first_name": "JARRED",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-06",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NC",
            "license": "2020-02071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylva, NC

Sources for this page

Verify at the official NPI Registry.