Active NPI
Grace Tang, MD
- Family Medicine Physician
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 200400984
- Practice address
- 3150 Rogers Rd
Suite 101
Wake Forest, NC 27587-4195 - Phone
- (919) 504-4000
- Fax
- (984) 235-1250
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 200400984 | NC | Primary |
Addresses
Primary practice location
3150 Rogers Rd
Suite 101
Wake Forest, NC 27587-4195
Mailing address
3150 Rogers Rd
Suite 101
Wake Forest, NC 27587-4195
Phone (919) 504-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Pennsylvania State University College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Legacy Healthcare Services Inc
Practice addresses (Care Compare)
2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600
3150 Rogers Rd
Suite 101
Wake Forest, NC 27587-4196
Phone (919) 504-4000
Hospital & facility affiliations
- Wakemed, Raleigh Campus
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200400984 | NC | MD | Family Medicine Physician |
Interoperability endpoints
- grace.tang.1@11261.direct.athenahealth.com
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.
-
- Family Medicine Physician
- Wake Forest, NC
- NPI 1336526383
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1972579837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450396800000",
"number": "1932243227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 ROGERS RD",
"address_2": "SUITE 101",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874195",
"telephone_number": "919-504-4000",
"fax_number": "984-235-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3150 ROGERS RD",
"address_2": "SUITE 101",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874195",
"telephone_number": "919-504-4000",
"fax_number": "984-235-1250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANG",
"first_name": "GRACE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2015-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "200400984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.