Individual provider Active NPI

Tawana Tarbeart

  • In Home Supportive Care Agency
  • Hiram, GA
National Provider Identifier
1942162458
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
PHCP043373 Issued in GA
Practice address
5745 Wendy Bagwell Pkwy Ste 25
Hiram, GA 30141-2885
Phone
(678) 400-7771
NPI assigned
Dec 2, 2025
Last updated
Dec 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X PHCP043373 GA Primary

Addresses

Primary practice location

5745 Wendy Bagwell Pkwy Ste 25
Hiram, GA 30141-2885

Mailing address

3249 Birchhaven Trce
Powder Springs, GA 30127-9038
Phone (805) 844-2737

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

State licenses

LicenseStateTypeSpecialty
PHCP043373GAMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Tarbear Enterprises LLC CurrentSince Dec 7, 2025 Accepting new patients
Tarbear Enterprises LLC In Home Supportive Care CurrentSince Dec 7, 2025 Accepting new patients

Locations

5745 Wendy Bagwell Pkwy
Ste 25
Hiram, GA 30141
Phone (678) 400-7771

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1764633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764633600000",
    "number": "1942162458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 BIRCHHAVEN TRCE",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301279038",
            "telephone_number": "805-844-2737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5745 WENDY BAGWELL PKWY STE 25",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301412885",
            "telephone_number": "678-400-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARBEART",
        "first_name": "TAWANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-02",
        "last_updated": "2025-12-02",
        "certification_date": "2025-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "PHCP043373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiram, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.