Individual provider Active NPI

Tamara Starling Herman, RDN, LD, CDCES

  • Registered Dietitian
  • Toccoa, GA
National Provider Identifier
1821614926
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD001986 Issued in GA
Practice address
163 Hospital Dr Dept of
Toccoa, GA 30577-6820
Phone
(706) 282-4338
Fax
(706) 282-4146
NPI assigned
Jun 24, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD001986 GA Primary

Addresses

Primary practice location

163 Hospital Dr Dept of
Toccoa, GA 30577-6820

Mailing address

163 Hospital Dr Dept of
Toccoa, GA 30577-6820
Phone (706) 282-4338

Other identifiers 1

IdentifierTypeStateIssuer
LD001986OtherGABCBS

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL therman@stephenscountyhospital.com Direct
Other URL therman@stephenscountyhospital.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211020000679 GA Practitioner - Registered Dietitian Or Nutrition Professional 3173921475

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tamara.herman.1@24479.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1821614926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 HOSPITAL DR DEPT OF",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776820",
            "telephone_number": "706-282-4338",
            "fax_number": "706-282-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 HOSPITAL DR DEPT OF",
            "city": "TOCCOA",
            "state": "GA",
            "postal_code": "305776820",
            "telephone_number": "706-282-4338",
            "fax_number": "706-282-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "TAMARA",
        "middle_name": "STARLING",
        "name_prefix": "Mrs.",
        "credential": "RDN, LD, CDCES",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD001986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "LD001986",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therman@stephenscountyhospital.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business",
            "address_1": "118 Greer Ln",
            "city": "Toccoa",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305773096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therman@stephenscountyhospital.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "useOtherDescription": "communication",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "118 Greer Ln",
            "city": "Toccoa",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305773096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toccoa, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.