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TATEISHA LYNELLE PAGE PA
NPI 1134765423
Physician Assistant - Medical in Warsaw, NC

Active since November 21, 2019PECOS Enrolled
113 S PINE ST, WARSAW, NC 28398(910) 293-7246 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 17, 2019, Dec 15, 2019, Nov 21, 2019 (3 updates tracked since 2019).

About Tateisha Lynelle Page Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TATEISHA LYNELLE PAGE PA (NPI 1134765423) is an individual medical provider in Warsaw, North Carolina, licensed in North Carolina (0010-09435) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134765423
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTATEISHA LYNELLE PAGECredential: PA
Location Address113 S PINE STWarsaw, NC 28398-1924
Mailing Address113 S Pine StWarsaw, NC 28398-1924 · (910) 293-7246
Phone(910) 293-7246
Sole ProprietorNo
Enumeration DateNovember 21, 2019
Last NPPES UpdateDecember 17, 20193 updates tracked since enumeration
✔ NPI 1134765423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NC · 0010-09435
113 S PINE ST, Warsaw, NC 28398
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tateisha Lynelle Page Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ABAYOMI S ADEDIRAN MD
Family Medicine
113 S PINE ST
WARSAW, NC 28398
Duplin County (910) 293-7246
GOSHEN MEDICAL CENTER INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
113 S PINE ST
WARSAW, NC 28398
Duplin County (910) 293-7246
LINDA K FLOWERS FNP
Nurse Practitioner (Family)
113 S PINE ST
WARSAW, NC 28398
Duplin County (910) 293-7246

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 Tateisha Page's NPI number?

The NPI number for Tateisha Page is 1134765423. It was assigned to this individual provider in the NPPES registry on November 21, 2019.

Where is Tateisha Page located?

Tateisha Page practices at 113 S Pine St, Warsaw, NC 28398. The listed phone number is (910) 293-7246.

What is Tateisha Page's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tateisha Page enrolled in Medicare?

Yes. Tateisha Page is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tateisha Page was last updated on December 17, 2019. 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.