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TANDEM PRIMARY CARE, PLLC
NPI 1467118059
Physician Assistant in Durham, NC

Active since November 09, 2021CLIA 34D2275318 · Microscopy
105 NEWSOM ST STE 106, DURHAM, NC 27704(704) 649-1527(919) 321-0401 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 28, 2023, Nov 9, 2021 (2 updates tracked since 2021).

About Tandem Primary Care, Pllc NPPES

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

TANDEM PRIMARY CARE, PLLC (NPI 1467118059) is a healthcare organization registered as a physician assistant in Durham, North Carolina and active in the NPI registry since November 2021. The organization holds a CLIA Microscopy certificate valid through January 18, 2027 and lists Ijeoma Mbanuzue Perkins, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467118059
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameTANDEM PRIMARY CARE, PLLC
Location Address105 NEWSOM ST STE 106Durham, NC 27704-2197
Mailing Address105 Newsom St Ste 106Durham, NC 27704-2197
Phone(704) 649-1527
Fax(919) 321-0401
Organization SubpartNo
Authorized OfficialIjeoma Mbanuzue PerkinsCeo · (919) 321-0418
Enumeration DateNovember 9, 2021
Last NPPES UpdateMarch 28, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2022
✔ NPI 1467118059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
105 NEWSOM ST STE 106, Durham, NC 27704
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Other Identifiers 2

Medicaid1467118059NC
OtherNC1105O002NC · Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D2275318

Tandem Primary Care, PLLC · Durham, NC
Active · expires Jan 18, 2027
CLIA Number34D2275318
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorIjeoma M. Perkins
Laboratory Phone(919) 321-0418
Laboratory LocationTandem Primary Care, PLLC105 Newsome Street, Suite 106, Durham, NC 27704
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 2

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

NEW START RECOVERY CENTER, PLLC
General Practice
105 NEWSOM ST STE 106
DURHAM, NC 27704
Durham County (984) 888-0539
IJEOMA MBANUZUE PERKINS PA-C
Physician Assistant
105 NEWSOM ST STE 106
DURHAM, NC 27704
Durham County (919) 321-0418

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 Tandem Primary Care, PLLC's NPI number?

The NPI number for Tandem Primary Care, PLLC is 1467118059. It was assigned to this organization in the NPPES registry on November 9, 2021.

Where is Tandem Primary Care, PLLC located?

Tandem Primary Care, PLLC is located at 105 Newsom St Ste 106, Durham, NC 27704. The listed phone number is (704) 649-1527.

What is Tandem Primary Care, PLLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Tandem Primary Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D2275318) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tandem Primary Care, PLLC was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.