Individual provider Active NPI

Tiffany N McCalla, M.D.

  • Emergency Medicine Physician
  • Wellington, FL
National Provider Identifier
1003877523
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME103480 Issued in FL
Practice address
12794 Forest Hill Blvd Ste 9-10
Wellington, FL 33414-4710
Phone
(561) 252-5398
NPI assigned
Apr 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0063078 MD
Emergency Medicine Physician 207P00000X M7412 TX
Emergency Medicine Physician 207P00000X ME103480 FL Primary

Addresses

Primary practice location

12794 Forest Hill Blvd Ste 9-10
Wellington, FL 33414-4710

Mailing address

12794 Forest Hill Blvd Ste 9-10
Wellington, FL 33414-4710
Phone (561) 252-5398

Other practice location 1

2000 W Baltimore St
Baltimore, MD 21223-1558
Phone (410) 362-3000

Other identifiers 4

IdentifierTypeStateIssuer
8U4003OtherTXBCBS
189741501MedicaidTX
408208700MedicaidMD
8AX740OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, KY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20090716000497 FL Practitioner - Emergency Medicine 4082645916 Reassigns benefits to 4 organizations
I20090825000595 GA Practitioner - Emergency Medicine 4082645916 Reassigns benefits to 1 organization
I20250721001142 KY Practitioner - Emergency Medicine 4082645916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Howard University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians

Practice addresses (Care Compare)

11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007
  • Baptist Health Louisville Hospital, Louisville, KY, CCN 180130
  • Good Samaritan Medical Center Hospital, West Palm Beach, FL, CCN 100287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME103480FLMDEmergency Medicine Physician
M7412TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Phoebe Putney Memorial Hospital Inc CurrentSince Apr 1, 2025 Accepting new patients
Baptist Health Medical Group, Inc. Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Hyperbaric Haven CurrentSince Nov 22, 2024 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2025 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Jun 1, 2017 Accepting new patients
Emergency Medicine Services of FL, LLC Emergency Medicine CurrentSince Nov 14, 2024 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Feb 1, 2013 Accepting new patients
Phoebe Putney Memorial Hospital Inc CurrentSince Apr 1, 2025 Accepting new patients
Em Alliance LLC Emergency Medicine CurrentSince Jul 20, 2025 Accepting new patients
Dimensions Health Corporation Emergency Medicine Past Accepting new patients
Republic Emergency Services PA Emergency Medicine Past Accepting new patients
Innovative Emergency Medicine PA Emergency Medicine Past Accepting new patients

Locations

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

901 45th St
Mangonia Park, FL 33407
Phone (561) 844-6300

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000

1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

801 E Hillsborough Ave
Tampa, FL 33604
Phone (813) 512-4810

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

16750 Persimmon Blvd
Westlake, FL 33470
Phone (561) 791-7200

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

417 W 3rd Ave
Albany, GA 31701
Phone (229) 317-2207

2002 Palmyra Rd
Ste 201
Albany, GA 31701
Phone (229) 312-5802

11701 Bluegrass Pkwy
#100
Louisville, KY 40299
Phone (502) 928-4100

1901 Campus Pl
Louisville, KY 40299
Phone (502) 253-4911

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

7 Easton Oval
#L4387
Columbus, OH 43219

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1003877523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12794 FOREST HILL BLVD STE 9-10",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144710",
            "telephone_number": "561-252-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12794 FOREST HILL BLVD STE 9-10",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144710",
            "telephone_number": "561-252-5398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 W Baltimore St",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212231558",
            "country_code": "US",
            "telephone_number": "410-362-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCALLA",
        "first_name": "TIFFANY",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-01",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0063078",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "M7412",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME103480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8U4003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189741501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "408208700",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8AX740",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

Verify at the official NPI Registry.