LAURYN HALEY TAM PA-C
NPI 1386590362
Physician Assistant - Medical in Weatherford, TX

Active since March 10, 2026PECOS Enrolled
2111 FORT WORTH HWY, WEATHERFORD, TX 76086(972) 544-6600 Get Directions Write a Review

NPPES record last updated: March 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2026, Mar 10, 2026 (2 updates tracked since 2026).

About Lauryn Haley Tam Pa-c NPPES

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

LAURYN HALEY TAM PA-C (NPI 1386590362) is an individual medical provider in Weatherford, Texas and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fort Worth, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1386590362
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameLAURYN HALEY TAMCredential: PA-C
Location Address2111 FORT WORTH HWYWeatherford, TX 76086-4834
Mailing Address2111 Fort Worth HwyWeatherford, TX 76086-4834
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 10, 2026
Last NPPES UpdateMarch 27, 20262 updates tracked since enumeration
NPPES CertifiedMarch 27, 2026
NPI 1386590362 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
2111 FORT WORTH HWY, Weatherford, TX 76086

Secondary Practice Location 1

Location 11023 Lipscomb St Ste 200Fort Worth, TX 76104-3102 · Phone (972) 544-6600

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauryn Haley Tam Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335615640
PECOS Enrollment IDI20260415001150
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 5

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

Internal Medicine
2111 FORT WORTH HWY
WEATHERFORD, TX 76086
Physician Assistant
2111 FORT WORTH HWY
WEATHERFORD, TX 76086
Family Medicine
2111 FORT WORTH HWY
WEATHERFORD, TX 76086
Point of Service
2111 FORT WORTH HWY
WEATHERFORD, TX 76086
Internal Medicine
2111 FORT WORTH HWY
WEATHERFORD, TX 76086

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 Lauryn Tam's NPI number?

The NPI number for Lauryn Tam is 1386590362. It was assigned to this individual provider in the NPPES registry on March 10, 2026.

Where is Lauryn Tam located?

Lauryn Tam practices at 2111 Fort Worth Hwy, Weatherford, TX 76086. The listed phone number is (972) 544-6600.

What is Lauryn Tam's specialty?

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

Is Lauryn Tam enrolled in Medicare?

Yes. Lauryn Tam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauryn Tam was last updated on March 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.