MEDICARE: MRS. TARA RENEE WILLIAMS NP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	00024181478	VA

General Provider Information

NPI Number	:	1235779646
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TARA RENEE WILLIAMS NP-C

Provider Business Mailing Address
First Line	:	1233 LANIER RD
Second Line	:
City	:	MARTINSVILLE
State	:	VA
Zip	:	24112-5211
Country	:	US
Telephone Number	:	740-646-6014
Fax Number	:

Provider Business Practice Location Address
First Line	:	3120 NORTHLINE AVE
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27408-7814
Country	:	US
Telephone Number	:	336-713-0818
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

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

Similar Medicare Providers

1215513262 — MARC-EDWIN GABRIEL SAINT-LOUIS MD
Practice Location Address:

3120 NORTHLINE AVE STE 102
GREENSBORO, NC
27408-7814

Practice Phone: 336-716-1957
Practice Fax: 336-716-1968

1841049913 — WAKE FOREST BAPTIST IMAGING LLC
Practice Location Address:

3120 NORTHLINE AVE STE 3120-101
GREENSBORO, NC
27408-7814

Practice Phone: 336-765-5722
Practice Fax: 336-765-5723

1548009848 — JENNIFER LEA FICHERA
Practice Location Address:

3120 NORTHLINE AVE
GREENSBORO, NC
27408-7814

Practice Phone: 734-660-2823
Practice Fax:

1679252571 — DOOR TO DOC LLC
Practice Location Address:

806 SUMMIT AVE STE 200
GREENSBORO, NC
27405-7814

Practice Phone: 336-944-2800
Practice Fax:

1306485974 — DR. JONATHAN EDWIN SCHMALZ PHD
Practice Location Address:

2911-A PINEDALE RD
GREENSBORO, NC
27408

Practice Phone: 336-443-6762
Practice Fax:

1649535519 — DR. PRIYA PRIYAMBADA M.D
Practice Location Address:

3150 N ELM ST
GREENSBORO, NC
27408-3880

Practice Phone: 336-716-7811
Practice Fax: 336-716-9526

Directions to “ MRS. TARA RENEE WILLIAMS NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.