Mrs Tara Renee Williams, NP-C in Greensboro, NC

Mrs Tara Renee Williams, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Greensboro, North Carolina. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lake Spring Emergency Group Llc, Wake Forest University Health Sciences and her current practice location is 3120 Northline Ave, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 713-0818.

Mrs Tara Renee Williams is licensed to practice in Virginia (license number 00024181478) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235779646.

Contact Information

	Mrs Tara Renee Williams, NP-C
	3120 Northline Ave, Greensboro, NC 27408-7814
	(336) 713-0818
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Tara Renee Williams
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3120 Northline Ave, Greensboro, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Tara Renee Williams graduated from nursing school in 2019

NPI Data:

NPI Number: 1235779646
Provider Enumeration Date: 01/14/2020
Last Update Date: 12/16/2025

Medicare PECOS Information:

PECOS PAC ID: 9830527423
Enrollment ID: I20211210002242

Medical Identifiers

Medical identifiers for Mrs Tara Renee Williams such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235779646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	00024181478 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Carolina Baptist Hospital	Winston-salem, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lake Spring Emergency Group Llc	6406103498	52
Wake Forest University Health Sciences	4486564952	2274

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tara Renee Williams allows following entities to bill medicare on her behalf.

Entity Name	Emergency Coverage Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053351593 PECOS PAC ID: 8820983430 Enrollment ID: O20061003000679

Entity Name	Dr. Jons Urgent Care Center, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639403769 PECOS PAC ID: 5294873378 Enrollment ID: O20091110000452

Entity Name	Lake Spring Emergency Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215429600 PECOS PAC ID: 6406103498 Enrollment ID: O20180723001173

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tara Renee Williams is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Tara Renee Williams, NP-C 1233 Lanier Rd, Martinsville, VA 24112-5211 Ph: (740) 646-6014	Mrs Tara Renee Williams, NP-C 3120 Northline Ave, Greensboro, NC 27408-7814 Ph: (336) 713-0818

Reviews and Comments

Nurse Practitioner Nurses in Greensboro, NC

Spenser Robert Beasley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3903 N Elm St, Greensboro, NC 27455 Phone: 336-713-4500 Fax: 336-716-4501
Mrs. Nancy Marie Smyth, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 866-686-2504
Mrs. Natalie Metts Stroud, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1002 N Church St Ste 201, Greensboro, NC 27401 Phone: 336-378-0713
Lindsi Ahearn, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Pisgah Church Rd, Greensboro, NC 27455 Phone: 336-716-9150
Mr. Brian Anthony White, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410 Phone: 336-292-1510
Mrs. Mariam Mangu Nantang, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 717 Green Valley Rd Ste 200, Greensboro, NC 27408 Phone: 743-222-9755
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731

Mrs Tara Renee Williams, NP-C - Medicare Nurse Practitioner in Greensboro, NC