Maryam Tarar, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

111763 Issued in GA

Practice address

14779 Brown Bridge Rd
Covington, GA 30016-4127

Phone

(770) 788-7777

NPI assigned

Oct 11, 2022

Last updated

Aug 24, 2026By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

Practice roles

Interoperability endpoints

• Direct secure messaging: mtarar2692118@direct.trinity-health.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.

• LKV Corporation

  • Internal Medicine Physician
  • Covngton, GA
  • NPI 1518024546
  NPD (past)
• Piedmont Medical Care Corporation

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1912956046
  NPD (past)
• St. Mary's Medical Group, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Athens, GA
  • NPI 1316733355
  NPD (past)

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

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1821713918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 BAXTER ST",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063712",
            "telephone_number": "706-389-3860",
            "fax_number": "706-389-3861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14779 BROWN BRIDGE RD",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300164127",
            "telephone_number": "770-788-7777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Oglethorpe Ave Ste 200D",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062165",
            "country_code": "US",
            "telephone_number": "706-389-3875",
            "fax_number": "706-389-3876",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Lee St N",
            "address_purpose": "LOCATION",
            "city": "Lewisburg",
            "state": "WV",
            "postal_code": "249011274",
            "country_code": "US",
            "telephone_number": "800-356-7836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARAR",
        "first_name": "MARYAM",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-11",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "111763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T4TS Transport
• Samantha Joi Tait, DNP, CPNP-PC
• Jane Soon-Yuen Tan, M.D.
• Frank Tanner, SA-C, CSFA
• Ankra Tanyi, RPH
• Jody S. Tarleton, PSY., LPC
• Antionette Tate, LPC
• Teddie Demont Taylor
• Shayla Shabrette Teamer, BSW
• Jeysirine Telesford

• Internal Medicine Physician in Covington, GA
• Providers in Covington, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.