Martha Genevieve Tawah-Diakite, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

5013145 Issued in NC

Practice address

1987 Hilton Rd
Burlington, NC 27217-2968

Phone

(336) 226-0848

NPI assigned

May 9, 2020

Last updated

Jan 3, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC

  Medicare reassignment NPD

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

{
    "created_epoch": "1588982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1952923211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 HILTON RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172968",
            "telephone_number": "336-226-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 HILTON RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172968",
            "telephone_number": "336-226-0848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283017603",
            "country_code": "US",
            "telephone_number": "910-400-7002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAWAH-DIAKITE",
        "first_name": "MARTHA",
        "middle_name": "GENEVIEVE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-09",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NC",
            "license": "319658",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5013145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PCC",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1987 Hilton Rd",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272172968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• David Scott Tanner, PT, DPT
• Task Cares Foundation
• April Michelle Tate
• Brandon Lee Tate, DPT
• Kelly H Tate, FNP
• Anne Miller Taylor, LCMHC, NCC
• Emily J Taylor, LCMHC
• Jennifer Lee Taylor, MS, LPCA
• Linda M Taylor, M.D.
• Tears of an Addict, LLC

• Gerontology Nurse Practitioner in Burlington, NC
• Providers in Burlington, NC by specialty
• Gerontology Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.