Tammy James Kincaid, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

076104 Issued in NC

Practice address

2700 Wayne Memorial Drive
Goldsboro, NC 27534

Phone

(919) 731-6068

Fax

(919) 731-6025

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731

  NC

  Medicare reassignment Care Compare group NPD
• Anesthesia Care Services, PA

  • Certified Registered Nurse Anesthetist
  • Forest, VA
  • NPI 1609833474

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Raleigh Medical Group, PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1104962315

  NC

  Medicare reassignment Care Compare group
• Moye Medical Endoscopy Center LLC

  • Ambulatory Surgical Clinic/Center
  • Greenville, NC
  • NPI 1508041666

  NC

  Medicare reassignment NPD
• Rsa Johnston LLC

  • Certified Registered Nurse Anesthetist
  • Clayton, NC
  • NPI 1346094380

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Whitehurst Anesthesia P a

  • Certified Registered Nurse Anesthetist
  • Kinston, NC
  • NPI 1073891008

  NC, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Raleigh Sedation Associates LLC

  • Certified Registered Nurse Anesthetist
  • Raleigh, NC
  • NPI 1639698533

  NC

  Medicare reassignment
• Vidant Medical Group LLC

  • Ambulatory Surgical Clinic/Center
  • Kinston, NC
  • NPI 1376049619
  Care Compare group NPD (past)
• Vidant Medical Group, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Roanoke Rapids, NC
  • NPI 1750125035
  Care Compare group
• Johnston Health Endoscopy Services, LLC

  • Ambulatory Surgical Clinic/Center
  • Clayton, NC
  • NPI 1588448252
  NPD (past)

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Raleigh Medical Group PA 99 clinicians

Anesthesia Care Services PA 54 clinicians

Vidant Medical Group LLC 986 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676678400000",
    "number": "1750433207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GATOR DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275309357",
            "telephone_number": "919-221-1527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WAYNE MEMORIAL DRIVE",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "27534",
            "telephone_number": "919-731-6068",
            "fax_number": "919-731-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINCAID",
        "first_name": "TAMMY",
        "middle_name": "JAMES",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-02-18",
        "certification_date": "2023-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "140107",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "076104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khushbu Patel, DDS, PLLC
• Sheila Everette Kidd
• Kilpatrick Physical Therapy, Inc.
• Patti Kilpatrick, PT
• Michele L Kim, NP
• Robin Lynn King-Thiele, D.O.
• Dori Anna King
• Jennifer Nicole King, FNP-C
• Kelvin Lamont King
• Lakisha King, LCSWA

• All providers in Goldsboro, NC
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.