Individual provider Active NPI

Tamara Claridge, NP

  • Family Nurse Practitioner
  • Okatie, SC
National Provider Identifier
1982400834
Registry record updated Feb 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F12240666 Issued in GA
Practice address
40 Okatie Center Blvd S Ste 205
Okatie, SC 29909-7511
Phone
(843) 379-7746
NPI assigned
Feb 21, 2025
Last updated
Feb 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12240666 GA Primary

Addresses

Primary practice location

40 Okatie Center Blvd S Ste 205
Okatie, SC 29909-7511

Mailing address

112 Franklins Walk
Rincon, GA 31326-3417

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416002897 SC Practitioner - Nurse Practitioner 6901321553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffery M Reuben, MD PAGroup PAC ID 6103906326, 4 clinicians

Practice addresses (Care Compare)

40 Okatie Ctr Blvd
Suite 205
Okatie, SC 29909-7511
Phone 84337977462322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F12240666GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery M Reuben, MD PA CurrentSince Mar 11, 2025 Accepting new patients
Jeffery M. Reuben, MD PA CurrentSince Mar 11, 2025 Accepting new patients

Locations

40 Okatie Center Blvd S
Ste 100
Okatie, SC 29909
Phone (843) 379-7746

40 Okatie Center Blvd S
Ste 205
Okatie, SC 29909
Phone (843) 379-7746

40 Okatie Center Blvd S
Ste 350
Okatie, SC 29909
Phone (843) 705-8940

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.

Hospital & facility affiliations 1

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": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1982400834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 FRANKLINS WALK",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313263417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 OKATIE CENTER BLVD S STE 205",
            "city": "OKATIE",
            "state": "SC",
            "postal_code": "299097511",
            "telephone_number": "843-379-7746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARIDGE",
        "first_name": "TAMARA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "F12240666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okatie, SC

Sources for this page

Verify at the official NPI Registry.