Tasha Matthews Boone, MD
Individual provider Active NPI Family Medicine Physician · Irmo, SC
NPI 1699745141 · NPPES record last updated Jan 18, 2022
Key facts
- NPI
- 1699745141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 24923 (SC)
- Practice address
- 7430 College St
Irmo, SC 29063-2903 - Phone
- (839) 200-7810
- Fax
- (803) 891-7085
- NPI assigned
- Jan 26, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 16
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of South Carolina School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Three Rivers Medical Associates PA
Practice addresses (Care Compare)
7430 College St
Irmo, SC 29063-2903
Phone (839) 200-7810
Hospital & facility affiliations
- Amedisys Home Health of Camden
- Prisma Health Richland Hospital
- Prisma Health Baptist
- Prisma Health Baptist Parkridge
- Lexington Medical Center
- Musc Health Columbia Medical Center Downtown
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050804000639 | SC | Practitioner - Family Practice | 1254360803 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24923 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Primary Care Physicians, LLC | Family Medicine | Current |
Accepting new patients |
| Three Rivers Medical Associates, PA | Current |
Accepting new patients | |
| Palmetto Primary Care Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Palmetto Primary Care Physicians, LLC | Family Medicine | Current |
Accepting new patients |
| Three Rivers Medical Associates, PA | Family Medicine | Current |
Accepting new patients |
| Three Rivers Medical Associates, PA | Family Medicine | Current | Accepting new patients |
Locations
1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404
1301 Taylor St
Ste 5K
Columbia, SC 29201
Phone (803) 765-2090
114 Gateway Corporate Blvd
Ste 300
Columbia, SC 29203
Phone (803) 254-3278
115 Atrium Way
Columbia, SC 29223
Phone (803) 569-3101
115 Atrium Way
Ste 120
Columbia, SC 29223
Phone (803) 445-2941
7430 College St
Irmo, SC 29063
Phone (803) 732-4001
2550 Elms Center Rd
North Charleston, SC 29406
Phone (843) 302-8840
201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397
3020 Sunset Blvd
Ste 101
West Columbia, SC 29169
Phone (803) 791-5680
Interoperability endpoints
- tasha.boone.1@25140.direct.athenahealth.com
- https://api.platform.athenahealth.com/25140/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 24923 | SC | Yes |
Addresses
Primary practice location
7430 College St
Irmo, SC 29063-2903
Mailing address
7430 College St
Irmo, SC 29063-2903
Phone (839) 200-7810
Other practice location 1
114 Gateway Corporate Blvd Ste 300
Columbia, SC 29203-8801
Phone (839) 200-7815
NPI Registry JSON
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1699745141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430 COLLEGE ST",
"city": "IRMO",
"state": "SC",
"postal_code": "290632903",
"telephone_number": "839-200-7810",
"fax_number": "803-891-7085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 COLLEGE ST",
"city": "IRMO",
"state": "SC",
"postal_code": "290632903",
"telephone_number": "839-200-7810",
"fax_number": "803-891-7085"
}
],
"practiceLocations": [
{
"address_1": "114 Gateway Corporate Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292038801",
"country_code": "US",
"telephone_number": "839-200-7815",
"fax_number": "803-891-7085",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOONE",
"first_name": "TASHA",
"middle_name": "MATTHEWS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-26",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "24923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irmo, SC
- Lindsay Walton Blount
- Roman Peele Blount IV
- Gina Blyler
- Anita Boland
- Lucinda K Bollinger
- John Kevin Borgstedt
- Daniel P Bouknight
- Bobbie Boulware
- Calvin Victor Boykin Jr.
- Raven Boykin
All providers in Irmo, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.