Mary R Tait (NPI# 1316159528, PAC ID# 7719872621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PEDIATRIC MEDICINE.
| Nation Provider ID (NPI) | 1316159528 |
| PAC ID by PECOS | 7719872621 |
| Professional Enrollment ID | I20180517001168 |
| Full Name | Mary R Tait |
| Organization Legal Name | CAROLINAS MEDICAL CENTER |
| Address |
3541 Randolph Rd Suite 206 Charlotte NC 28211-1253 |
| Phone Number | 7043818351 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 4789597477 |
| Number of Group Practice Members | 801 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3541 Randolph Rd, Suite 206, Charlotte, NC 28211-1253 | 7043818351 | CAROLINAS MEDICAL CENTER |
| 3541 Randolph Rd, Charlotte, NC 28211-1253 | 7043818351 | CAROLINAS MEDICAL CENTER |
| Organization Legal Name | CAROLINAS MEDICAL CENTER |
| Physicians | 670 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kasser Saba | Neurology | Carolinas Medical Center | 1010 Edgehill Rd N, Charlotte, NC 28207-1885 |
| Lynneice L Bowen | Psychiatry | Carolinas Medical Center | 16740 Davidson Concord Rd, Suite 200, Davidson, NC 28036-8746 |
| Hristos C Karanikas | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Mary Carnes Devane | Internal Medicine | Carolinas Medical Center | 1350 S Kings Dr, Charlotte, NC 28207-2134 |
| Kristina Jasmin Harrell | Pediatric Medicine | Carolinas Medical Center | 1000 Blythe Blvd, Charlotte, NC 28203-5812 |
| Lydia M E Calamari | Internal Medicine | Carolinas Medical Center | 400 E Morehead St, Suite 202, Charlotte, NC 28202-2610 |
| Laurence B Kempton | Orthopedic Surgery | Carolinas Medical Center | 1025 Morehead Medical Dr, Suite 275a, Charlotte, NC 28204-2963 |
| Amanda H Goodwin | Clinical Social Worker | Carolinas Medical Center | 501 Billingsley Rd B, Charlotte, NC 28211-1009 |
| Rodney A Villanueva | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd A, Charlotte, NC 28211-1009 |
| Mark J Makhuli | Urology | Carolinas Medical Center | 1023 Edgehill Rd S, Charlotte, NC 28207-1829 |
| Street Address |
3541 RANDOLPH RD SUITE 206 |
| City | CHARLOTTE |
| State | NC |
| Zip | 28211-1253 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William B Dawson | Neurology | Carolinas Physicians Network Inc | 3541 Randolph Rd, Suite 101, Charlotte, NC 28211-1081 |
| Kaiwen Lin | Neurology | Carolinas Physicians Network Inc | 3541 Randolph Rd, Suite 101, Charlotte, NC 28211-1081 |
| Ashok V Patel | Neurology | Carolinas Physicians Network Inc | 3541 Randolph Rd, Suite 101, Charlotte, NC 28211-1081 |
| Anita T Wu | Neurology | Carolinas Physicians Network Inc | 3541 Randolph Rd, Suite 101, Charlotte, NC 28211-1081 |
| Christie Dehoff | Nurse Practitioner | Carolinas Medical Center | 3541 Randolph Rd, Suite 206, Charlotte, NC 28211-1253 |
| Brittany R Thomas | Pediatric Medicine | Carolinas Medical Center | 3541 Randolph Rd, Suite 206, Charlotte, NC 28211-1253 |
| Beverly Knight | Physical Therapy | Orthocarolina Pa | 3541 Randolph Rd, Suite 100w, Charlotte, NC 28211-1082 |
| Shamieka V Dixon | Pediatric Medicine | Carolinas Medical Center | 3541 Randolph Rd, Charlotte, NC 28211-1253 |
| Steven F Putman | Neurology | Carolinas Physicians Network Inc | 3541 Randolph Rd, Suite 101, Charlotte, NC 28211-1081 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Camilla Bird | Clinical Social Worker | Anuvia Prevention and Recovery, Center, Inc | 100 Billingsley Rd, Charlotte, NC 28211-1002 |
| Kelli Martia Keys | Clinical Social Worker | Anuvia Prevention and Recovery, Center, Inc | 100 Billingsley Rd, Charlotte, NC 28211-1002 |
| Meg Shannon Sullivan | Family Medicine | 249 Billingsley Rd, Charlotte, NC 28211-1003 | |
| Lena K White | Family Practice | Mecklenburg County | 249 Billingsley Rd, Charlotte, NC 28211-1003 |
| Jeanmarie M Roberts | Nurse Practitioner | Anuvia Prevention and Recovery, Center, Inc | 429 Billingsley Rd, Charlotte, NC 28211-1007 |
| Hristos C Karanikas | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Amanda H Goodwin | Clinical Social Worker | Carolinas Medical Center | 501 Billingsley Rd B, Charlotte, NC 28211-1009 |
| Rodney A Villanueva | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd A, Charlotte, NC 28211-1009 |
| Walter Carlton Gay Iii | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Rebecca Devonne Silver | Psychiatry | Carolinas Medical Center | 501 Billingsley Rd, Charlotte, NC 28211-1009 |
| Find all physicians in zip 28211 | |||
| City | CHARLOTTE |
| Zip Code | 28211 |
| Specialty | PEDIATRIC MEDICINE |
| City + Specialty | CHARLOTTE + PEDIATRIC MEDICINE |
Please comment or provide details below to improve the information on Mary R Tait.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.