Tara C Smith

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20036 Issued in SC

Practice address

1945 Glenns Bay Rd
Surfside Beach, SC 29575-4833

Phone

(843) 650-4006

NPI assigned

Apr 12, 2016

Last updated

Jul 6, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Wound Specialists of North Carolina, PLLCGroup PAC ID 7810172616, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Salisbury, NC, CCN 347325
• Adoration Home Health Home health agency, Salisbury, NC, CCN 347116
• Novant Health Rowan Medical Center Hospital, Salisbury, NC, CCN 340015

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tara.smith@355875184967682.direct.elationemr.com
• Direct secure messaging: tsmith1640277@direct.novanthealth.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.

• Integrated Wound Specialists of North Carolina, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Pinehurst, NC
  • NPI 1558666776

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Weston Medsburg Center LLC

  • Surgery Physician
  • Hilton Head Island, SC
  • NPI 1104924091

  NC

  Medicare reassignment NPD
• Novant Health Rowan Medical Center LLC

  dba Novant Health Rowan Wound Care and Hyperbaric Medicine Profee

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Salisbury, NC
  • NPI 1164356283
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adoration Home Health Care Virginia LLC

  dba Adoration Home Health

  • Home Health Agency
  • Salisbury, NC
  • NPI 1790885945
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Salisbury, NC
  • NPI 1508125816
  Care Compare affiliation
• Novant Health Rowan Medical Center LLC

  dba Novant Health Rowan Medical Center

  • General Acute Care Hospital
  • Salisbury, NC
  • NPI 1508843566
  Care Compare affiliation

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1801250253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754833",
            "telephone_number": "843-650-4006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754833",
            "telephone_number": "843-650-4006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TARA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-12",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "20036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Schendel, BCHIS
• Seaside Home Solutions LLC
• Jerry David Shepherd II, DDS
• Liliana Shklyar, RPH
• Jonathan Alan Simons, PHD
• Sandra Soles
• Sos Health Care Inc
• South Beach Dental Office Inc.
• South Carolina CVS Pharmacy LLC (CVS Pharmacy #05515)
• South Carolina Podiatric Physicians and Surgeons Group, LLC

• Family Nurse Practitioner in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.