Tanglewood Park Physicians, PLLC
NPI 1093286379 · Emergency Medicine Physician · Clemmons, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tanglewood Park Physicians, PLLC is a Emergency Medicine Physician organization in Clemmons, NC (NPI 1093286379).
Provider details
- NPI number
- 1093286379
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kim Larsen, Director of Credentialing(770) 874-5400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-12-11
- Last updated
- 2020-02-05
- Certified
- 2020-02-05
Frequently asked questions
- What is Tanglewood Park Physicians, PLLC's NPI number?
- Tanglewood Park Physicians, PLLC's National Provider Identifier (NPI) is 1093286379, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tanglewood Park Physicians, PLLC?
- Tanglewood Park Physicians, PLLC is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tanglewood Park Physicians, PLLC located?
- Tanglewood Park Physicians, PLLC's practice location on file with NPPES is 6915 Village Medical Cir, Clemmons, NC 27012-8002.
- What is Tanglewood Park Physicians, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tanglewood Park Physicians, PLLC is (336) 893-1000.
- Does Tanglewood Park Physicians, PLLC accept Medicare?
- Tanglewood Park Physicians, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tanglewood Park Physicians, PLLC?
- The authorized official listed on Tanglewood Park Physicians, PLLC's NPPES record is Kim Larsen, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tanglewood Park Physicians, PLLC's NPI active?
- Yes — Tanglewood Park Physicians, PLLC's NPI (1093286379) is active in the NPPES registry as of the last update on 2020-02-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.