TABITA TAVOC
NPI 1790309607
Physician Assistant in Winston Salem, NC

Q: What is Tabita Tavoc's NPI number?

The NPI number for Tabita Tavoc is 1790309607. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Q: What is Tabita Tavoc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tabita Tavoc was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment

186 KIMEL PARK DR, WINSTON SALEM, NC 27103(336) 277-2000 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Apr 21, 2024, Mar 26, 2023 and 2 more (5 updates tracked since 2020).

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About Tabita Tavoc NPPES

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

TABITA TAVOC (NPI 1790309607) is an individual physician assistant in Winston Salem, North Carolina, licensed in North Carolina (0010-09627) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1790309607

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTABITA TAVOC

Location Address186 KIMEL PARK DRWinston Salem, NC 27103-6946

Mailing AddressPo Box 751803Charlotte, NC 28275-1803 · (336) 277-2000

Phone(336) 277-2000

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 2019

Enumeration DateJune 5, 2020

Last NPPES UpdateNovember 20, 20255 updates tracked since enumeration

NPPES CertifiedNovember 20, 2025

✔ NPI 1790309607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in NC · 0010-09627✔ Licensed in NC · 1166108

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.

186 KIMEL PARK DR, Winston Salem, NC 27103

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Secondary Practice Location 1

Location 11319 New Garden RdGreensboro, NC 27410-2722 · Phone (336) 716-9622

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tabita Tavoc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648694869

PECOS Enrollment IDI20200721003522

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

12 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340014

Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County

Emergency services Birthing friendly

North Carolina Baptist Hospital

Acute Care Hospitals · Winston-Salem, NC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340047

LocationMedical Center BoulevardWinston-Salem, NC 27157 · Forsyth County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

SHANNON MITCHELL ST CLAIR MD

Nuclear Medicine (Nuclear Cardiology)