Tina Louise Poindexter, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010707 Issued in NC

Practice address

503 Becker Colony Dr
Roanoke Rapids, NC 27870-3949

Phone

(404) 509-9947

NPI assigned

Dec 9, 2006

Last updated

Dec 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Metropolitan Community Health Services IncGroup PAC ID 9931010881, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tpoindexter656764@direct.ochin.org

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.

• Metropolitan Community Health Services, Inc

  dba Agape Community Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1366488280
  Medicare reassignment Care Compare group NPD
• Metropolitan Community Health Services, Inc.

  dba Roanoke River Orthopedics

  • Orthopaedic Surgery Physician
  • Williamston, NC
  • NPI 1295515260
  NPD
• Metropolitan Community Health Services, Inc.

  dba Agape Health Services - Carolina Avenue

  • Federally Qualified Health Center (FQHC)
  • Washington, NC
  • NPI 1891590444
  NPD
• Rural Health Group, Inc.

  dba Rural Health Group at Jackson

  • Federally Qualified Health Center (FQHC)
  • Jackson, NC
  • NPI 1689626178
  NPD (past)
• Pawhuska IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Pawhuska, OK
  • NPI 1952303190
  NPD (past)
• Pawnee IHS Pharmacy

  • Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
  • Pawnee, OK
  • NPI 1124178017
  NPD (past)
• Wewoka Indian Health

  • Community Health Clinic/Center
  • Wewoka, OK
  • NPI 1689664195
  NPD (past)

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

{
    "created_epoch": "1165622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1780744037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 BECKER COLONY DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703949",
            "telephone_number": "404-509-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 BECKER COLONY DR",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278703949",
            "telephone_number": "404-509-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POINDEXTER",
        "first_name": "TINA",
        "middle_name": "LOUISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-09",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN154259NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201502279NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana L Pesteanu, O.D.
• Vanessa Petrillo, BCBA
• Pierces Enterprises LLC
• Laura Thompson Pittman, FNP-BC
• Keith Poche, LCSW
• Marie Lee Pope, LCSW
• Anita Michelle Powell
• Premier Family Health Care Services LLC
• Premier Family Health Care Services LLC
• Premier Family Health Care Services, LLC

• Family Nurse Practitioner in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.