NPIMap

Individual provider Active NPI

Jorjeta D Tahtawi, MD

  • Internal Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1932161742
Registry record updated Dec 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200801391 Issued in NC
Practice address
50 Doctors Dr
Suite 2
Hendersonville, NC 28792-7209
Phone
(828) 684-2587
Fax
(828) 651-8344
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 216192 MA
Internal Medicine Physician 207R00000X 200801391 NC Primary

Addresses

Primary practice location

50 Doctors Dr
Suite 2
Hendersonville, NC 28792-7209

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5616

Other identifiers 4

IdentifierTypeStateIssuer
696898OtherMAHARVARD PILGRIM
P01320169OtherNCMEDICARE RR
J26039OtherMABLUE CROSS
18317OtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140520001250 NC Practitioner - Internal Medicine 5890766893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

50 Doctors Dr
Suite 2
Hendersonville, NC 28792-7209
Phone (828) 684-2587

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
216192MAMDInternal Medicine Physician
200801391NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc. CurrentSince Nov 1, 2013 Accepting new patients
Fletcher Hospital Inc. Current Accepting new patients
Rehabilitation Medical Associates, P.C. Internal Medicine PastSince May 26, 2024 Accepting new patients
Shawnee Mission Medical Center Inc Internal Medicine Past Accepting new patients
Fletcher Hospital Inc Past Accepting new patients

Locations

50 Doctors Dr
#2
Hendersonville, NC 28792
Phone (828) 684-2587

50 Doctors Dr
Ste 2A
Hendersonvlle, NC 28792

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Interoperability endpoints

  • Direct secure messaging: jtahtawi659521@adventhealth.direct-ci.com

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480982400000",
    "number": "1932161742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5616",
            "fax_number": "828-650-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 DOCTORS DR",
            "address_2": "SUITE 2",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287927209",
            "telephone_number": "828-684-2587",
            "fax_number": "828-651-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAHTAWI",
        "first_name": "JORJETA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2016-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "216192",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200801391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "696898",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P01320169",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "J26039",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "18317",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.