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

Tasha Gallup, PA-C

Individual provider Athletic Trainer · NPI 1679973390

Tasha Gallup, PA-C is a Physician Assistant in Plymouth, New Hampshire. Qualified in 2017, 9 years ago. Practices with Mid-State Health Center, a 33-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Hampshire.

Years since qualifying
9
Licensed in
NH
In the registry since
2014
Specialties on file
2
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

101 Boulder Point Dr Ste 1
Plymouth, NH 03264-3170
Phone: (603) 536-4000
Fax: (603) 536-4001
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 103 Boulder Point Dr, Plymouth, NH 03264-3168 — (603) 536-1565

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 1256 (NH)
Athletic Trainer Taxonomy 2255A2300X · Licence 0353 (NH)

Record details

NPI number1679973390
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 29, 2014
Last updated in NPPESFebruary 7, 2025
Certification dateFebruary 7, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mid-State Health Center — 33 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Plymouth