NPIMap

Individual provider Active NPI

Tara Davis Howell, M.D.

  • Family Medicine Physician
  • Dallas, GA
National Provider Identifier
1982874053
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
061839 Issued in GA
Practice address
105 Village Walk Ste 277
Dallas, GA 30132-5506
Phone
(770) 800-6780
NPI assigned
Mar 5, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.29231 AL
Family Medicine Physician 207Q00000X 061839 GA Primary

Addresses

Primary practice location

105 Village Walk Ste 277
Dallas, GA 30132-5506

Mailing address

105 Village Walk Ste 277
Dallas, GA 30132-5506
Phone (770) 800-6780

Other practice location 1

4100 McClellan Blvd
Anniston, AL 36201-2132
Phone (256) 235-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20090114000245 GA Practitioner - Family Practice 4688737844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Mercer University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

105 Village Walk
Dallas, GA 30132-5506
Phone 77080067801

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
061839GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
It Is Well Healthcare, LLC Family Medicine CurrentSince Jan 17, 2021 Accepting new patients
Tanner Medical Group Inc Family Medicine CurrentSince Mar 23, 2020 Accepting new patients
It Is Well Healthcare, LLC CurrentSince Dec 9, 2020 Accepting new patients
TMC Haralson Family Healthcare Center Family Medicine Past Accepting new patients

Locations

105 Village Walk
Ste 277
Dallas, GA 30132
Phone (678) 410-1781

105 Village Walk
Ste 280
Dallas, GA 30132
Phone (770) 800-6780

2636 US Highway 78 E
Tallapoosa, GA 30176
Phone 77080067802

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GBADCD

Organizations & group practices 4

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1982874053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VILLAGE WALK STE 277",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325506",
            "telephone_number": "770-800-6780",
            "fax_number": "678-401-2565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VILLAGE WALK STE 277",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325506",
            "telephone_number": "770-800-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 McClellan Blvd",
            "address_purpose": "LOCATION",
            "city": "Anniston",
            "state": "AL",
            "postal_code": "362012132",
            "country_code": "US",
            "telephone_number": "256-235-2273",
            "fax_number": "877-693-3132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOWELL",
        "first_name": "TARA",
        "middle_name": "DAVIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2022-10-12",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD.29231",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "061839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

Verify at the official NPI Registry.