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TARA DAMBACH
NPI 1871233502
Internal Medicine in Suwanee, GA

Active since March 30, 2022PECOS EnrolledAccepts Medicare Assignment
625 OLD PEACHTREE RD NW, SUWANEE, GA 30024(678) 451-8969 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tara Dambach NPPES

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

TARA DAMBACH (NPI 1871233502) is an individual internal medicine provider in Suwanee, Georgia, licensed in Georgia (11235) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital Midtown, and is a graduate of Philadelphia College Of Osteopathic Medicine (2022).

NPPES Registry Identity

NPI1871233502
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTARA DAMBACH
Location Address625 OLD PEACHTREE RD NWSuwanee, GA 30024-2937
Mailing Address6518 Secret Cove CtFlowery Branch, GA 30542-3865
Phone(678) 451-8969
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2022
Enumeration DateMarch 30, 2022
Last NPPES UpdateNovember 30, 2022
NPPES CertifiedNovember 30, 2022
✔ NPI 1871233502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 11235
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
625 OLD PEACHTREE RD NW, Suwanee, GA 30024
Open in Google Maps ↗

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

Tara Dambach 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 ID6800261256
PECOS Enrollment IDI20230417002029
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

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Emory Johns Creek Hospital

Acute Care Hospitals · Johns Creek, GA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number110230
Location6325 Hospital ParkwayJohns Creek, GA 30097 · Gwinnett County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30024 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
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.

HA NGUYEN
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
CARRIE SMITH NOLD PA-C
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (770) 682-2362
DR. KRISTIE PETREE D.O.
Neuromusculoskeletal Medicine & OMM
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (517) 432-6144
VANESSA PETER
Physician Assistant
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
JAD ELKHALIL
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
DR. JENNIFER ANN SHANNON PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 407-7369
NYCE KEIYORO
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500
CAROLINE KIM
Student in an Organized Health Care Education/Training Program
625 OLD PEACHTREE RD NW
SUWANEE, GA 30024
Gwinnett County (678) 225-7500

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 Tara Dambach's NPI number?

The NPI number for Tara Dambach is 1871233502. It was assigned to this individual provider in the NPPES registry on March 30, 2022.

Where is Tara Dambach located?

Tara Dambach practices at 625 Old Peachtree Rd NW, Suwanee, GA 30024. The listed phone number is (678) 451-8969.

What is Tara Dambach's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tara Dambach enrolled in Medicare?

Yes. Tara Dambach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tara Dambach affiliated with any hospitals?

According to CMS data, Tara Dambach is affiliated with Emory University Hospital Midtown and Emory Johns Creek Hospital.

When was this NPI record last updated?

The NPPES record for Tara Dambach was last updated on November 30, 2022. 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.