TANGLEWOOD PARK PHYSICIANS, PLLC
NPI 1093286379
Emergency Medicine in Clemmons, NC
About Tanglewood Park Physicians, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANGLEWOOD PARK PHYSICIANS, PLLC (NPI 1093286379) is a healthcare organization registered as an emergency medicine in Clemmons, North Carolina and active in the NPI registry since December 2018. The organization lists Kim H Larsen, Director Of Credentialing, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tanglewood Park Physicians, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
158Medicare enrollment records show 158 clinicians reassign Medicare billing to Tanglewood Park Physicians, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 158Winston-salem, NC 27103
Winston-salem, NC 27103
Winston-salem, NC 27103
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tanglewood Park Physicians, PLLC's NPI number?
The NPI number for Tanglewood Park Physicians, PLLC is 1093286379. It was assigned to this organization in the NPPES registry on December 11, 2018.
Where is Tanglewood Park Physicians, PLLC located?
Tanglewood Park Physicians, PLLC is located at 6915 Village Medical Cir, Clemmons, NC 27012. The listed phone number is (336) 893-1000.
What is Tanglewood Park Physicians, PLLC's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Tanglewood Park Physicians, PLLC enrolled in Medicare?
Yes. Tanglewood Park Physicians, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tanglewood Park Physicians, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 158 clinicians in 3 Medicare specialties reassign their Medicare billing to Tanglewood Park Physicians, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (126), Nurse Practitioner (29) and Family Practice (3). Of these, 2 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tanglewood Park Physicians, PLLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Cigna Healthcare list Tanglewood Park Physicians, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tanglewood Park Physicians, PLLC was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tanglewood Park Physicians, Pllc · NPI 1093286379
Emergency Medicine organization in Clemmons, North Carolina. Organization record, active in the CMS NPPES registry since December 11, 2018.
## Identity
- **NPI:** 1093286379 (Entity type: Organization)
- **Enumerated:** December 11, 2018
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Kim Larsen, DIRECTOR OF CREDENTIALING
## Practice location
- **Address:** 6915 VILLAGE MEDICAL CIR, Clemmons, NC 27012-8002
- **Phone:** (336) 893-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 158 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (126), Nurse Practitioner (29), Family Practice (3); 2 practice at this address and 14 within 10 miles; [full list](https://npiprofile.com/npi/1093286379/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 5, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1093286379) · Data from the CMS NPPES public registry.