Individual provider Active NPI

Tarsha V. Garvin, MD

  • Interventional Pain Medicine Physician
  • Kernersville, NC
National Provider Identifier
1649248444
Registry record updated Nov 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
2005-00043 Issued in NC
Practice address
900 Old Winston Rd
Suite 112
Kernersville, NC 27284-9964
Phone
(336) 993-4502
Fax
(336) 993-7196
NPI assigned
Mar 9, 2006
Last updated
Nov 24, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 2005-00043 NC
Interventional Pain Medicine Physician 208VP0014X 2005-00043 NC Primary

Addresses

Primary practice location

900 Old Winston Rd
Suite 112
Kernersville, NC 27284-9964

Mailing address

900 Old Winston Rd
Suite 112
Kernersville, NC 27284-9964
Phone (336) 993-4502

Other identifiers 1

IdentifierTypeStateIssuer
5950096MedicaidNC

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050322000447 NC Practitioner - Interventional Pain ManagementPractitioner - Anesthesiology 4284689340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology
Education
Brody School of Medicine at East Carolina University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

900 Old Winston Rd
Kernersville, NC 27284-9965
Phone (336) 993-4502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00043NCMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Interventional Pain Center, PA Interventional Pain Medicine CurrentSince Jun 18, 2008 Accepting new patients
Anesthetix of Lexington, PLLC Past Accepting new patients

Locations

900 Old Winston Rd
Ste 112
Kernersville, NC 27284
Phone (336) 993-4502

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBGFAA/Endpoint/HBGFAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1649248444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "SUITE 112",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849964",
            "telephone_number": "336-993-4502",
            "fax_number": "336-993-7196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "SUITE 112",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272849964",
            "telephone_number": "336-993-4502",
            "fax_number": "336-993-7196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARVIN",
        "first_name": "TARSHA",
        "middle_name": "V.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NC",
            "license": "2005-00043",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NC",
            "license": "2005-00043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950096",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.