Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Griesemer, PA-C

Individual provider Physician Assistant · NPI 1972274157

Tara Griesemer, PA-C is a Physician Assistant in Gilbert, Arizona. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2021
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone: (480) 256-6444
Fax: (480) 256-3682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 980 Johnson Fy Rd Ne, Atlanta, GA 30342-1626 — (602) 999-8481

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 11445 (AZ)

Record details

NPI number1972274157
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESJune 16, 2026
Certification dateJune 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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