| Tara James, FNP | |
|
3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 | |
| (386) 767-9544 | |
| (386) 767-9914 |
| Full Name | Tara James |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 3512 S Atlantic Ave, Daytona Beach Shores, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518433804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 902693 (Mississippi) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 9494499 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventhealth Daytona Beach | Daytona beach, FL | Hospital |
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Adventhealth New Smyrna Beach | New smyrna beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Gerald R Woodard Do Pa | 9436115052 | 4 |
| Entity Name | Gerald R Woodard Do Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114111440 PECOS PAC ID: 9436115052 Enrollment ID: O20041206000869 |
| Mailing Address | Practice Location Address |
|---|---|
| Tara James, FNP 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 Ph: (386) 767-9544 | Tara James, FNP 3512 S Atlantic Ave, Daytona Beach Shores, FL 32118-7639 Ph: (386) 767-9544 |
Jillian Pona, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2570 S Atlantic Ave, Daytona Beach Shores, FL 32118 Phone: 386-872-5442 | |
Jessica Metakes, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3612 S Atlantic Ave, Daytona Beach Shores, FL 32118 Phone: 386-872-5442 Fax: 386-872-3018 |