Individual provider Active NPI

Tamra Shay Cheek, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1720403694
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04865 Issued in NC
Practice address
2635 Lawndale Dr
Greensboro, NC 27408-4802
Phone
(336) 867-4310
Fax
(336) 867-4311
NPI assigned
Feb 28, 2014
Last updated
Nov 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-04865 NC Primary

Addresses

Primary practice location

2635 Lawndale Dr
Greensboro, NC 27408-4802

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

115 Crescent Commons Dr
Suite 200
Cary, NC 27518-8102
Phone (919) 851-5055

Other practice location 2

5870 Samet Dr
High Point, NC 27265-3646
Phone (336) 803-7311

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141222001506 NC Practitioner - Physician Assistant 3274856380 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569

1600 Highwoods Blvd
Greensboro, NC 27410-2048
Phone (743) 230-6697

2452 Fairlawn CT
Winston Salem, NC 27106-3884
Phone (336) 281-5965

2635 Lawndale Dr
Greensboro, NC 27408-4802
Phone (336) 867-4310

3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571

50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535

5870 Samet Dr
High Point, NC 27265-3646
Phone (336) 803-7311

600 Highland Oaks Dr
Winston Salem, NC 27103-7107
Phone (366) 774-0040

794 S Main St
Suite B
Kernersville, NC 27284-4074
Phone (336) 904-2317

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. CurrentSince Nov 12, 2018 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Nov 12, 2018 Accepting new patients
Carolina Medicorp Enterprises, LLC CurrentSince Oct 25, 2024 Accepting new patients
Carolina Medicorp Enterprises Inc Physician Assistant Past Accepting new patients
Fastmed Primary Care, P.C. Past Accepting new patients

Locations

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Interoperability endpoints

  • Direct secure messaging: tcheek1103419@direct.novanthealth.org

Organizations & group practices 9

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": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1720403694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 LAWNDALE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084802",
            "telephone_number": "336-867-4310",
            "fax_number": "336-867-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Crescent Commons Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275188102",
            "country_code": "US",
            "telephone_number": "919-851-5055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5870 Samet Dr",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272653646",
            "country_code": "US",
            "telephone_number": "336-803-7311",
            "fax_number": "336-803-7485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEEK",
        "first_name": "TAMRA",
        "middle_name": "SHAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.