Active NPI
Tamara W Thompson
- Adult Care Home Facility
- Graham, NC
National Provider Identifier
1922999028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Practice address
- 309 W Pine St
Tbroadway4045@Gmail.Com
Graham, NC 27253 - Phone
- (704) 756-6700
- NPI assigned
- Jul 15, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
309 W Pine St
Tbroadway4045@Gmail.Com
Graham, NC 27253
Mailing address
309 W Pine Street
Tamara.Thompson40@Yahoo.Com
Graham, NC 27253-2821
Phone (704) 756-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Stay LLC | Adult Care Home | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Developmentally Disabled Services Day Training Agency
- Graham, NC
- NPI 1144112962
Adult Care Home
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1922999028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 W PINE STREET",
"address_2": "TAMARA.THOMPSON40@YAHOO.COM",
"city": "GRAHAM",
"state": "NC",
"postal_code": "272532821",
"telephone_number": "704-756-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 W PINE ST",
"address_2": "TBROADWAY4045@GMAIL.COM",
"city": "GRAHAM",
"state": "NC",
"postal_code": "27253",
"telephone_number": "704-756-6700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TAMARA",
"middle_name": "W",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Graham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.