Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tabita Tavoc

Individual provider Physician Assistant · NPI 1790309607

Tabita Tavoc is a Physician Assistant in Winston Salem, North Carolina. Graduated from Duke University School of Medicine in 2019, 7 years ago. Practices with Wake Forest University Health Sciences, a 2,621-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Trained at
Duke University School of Medicine
Licensed in
NC
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone: (336) 277-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1319 New Garden Rd, Greensboro, NC 27410-2722 — (336) 716-9622

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09627 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 1166108 (NC)

Record details

NPI number1790309607
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Wake Forest University Health Sciences — 2621 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Winston Salem