MEDICARE: MRS. TARA EADDY BARRINEAU PA-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	363A00000X	Physician Assistant	3184	SC
2	363AS0400X	Surgical Physician Assistant	3184	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	SCF316	OTHER	SC	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1780143511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TARA EADDY BARRINEAU PA-C

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-522-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 N SUMTER ST STE 300
Second Line	:
City	:	SUMTER
State	:	SC
Zip	:	29150-4967
Country	:	US
Telephone Number	:	803-775-1550
Fax Number	:	803-775-7258

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

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	12/09/2025

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Directions to “ MRS. TARA EADDY BARRINEAU PA-C” Practice Location

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