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

Tara Marie Formisano, DO

Individual provider Family Medicine Physician · NPI 1548720121

Tara Marie Formisano, DO is an Obstetrics/Gynecology in Beaufort, South Carolina. Qualified in 2019, 7 years ago. Practices with Beaufort Jasper Hampton Comprehensive Health Services Inc, a 37-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and South Carolina.

Years since qualifying
7
Licensed in
MA, SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1264 Ribaut Rd
Beaufort, SC 29902-6123
Phone: (843) 986-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 759 Chestnut St, Springfield, MA 01199-0001 — (413) 794-0000

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 94477 (SC)
Family Medicine Physician Taxonomy 207Q00000X · Licence 1015917 (MA)

Record details

NPI number1548720121
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Beaufort Jasper Hampton Comprehensive Health Services Inc — 37 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Beaufort