Active NPI
Tiffany N McCalla, M.D.
- Emergency Medicine Physician
- Wellington, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME103480
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8U4003 | Other | TX | BCBS |
| 189741501 | Medicaid | TX | |
| 408208700 | Medicaid | MD | |
| 8AX740 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
Practice addresses (Care Compare)
11701 Bluegrass Pkwy
Suite 100
Louisville, KY 40299-2302
Phone (502) 928-4100
Hospital & facility affiliations
- Phoebe Putney Memorial Hospital
- Baptist Health Louisville
- Good Samaritan Medical Center
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME103480 | FL | MD | Emergency Medicine Physician |
| M7412 | TX | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Baptist Health Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Hyperbaric Haven | Current | Accepting new patients | |
| Baptist Health Medical Group Inc | Current | Accepting new patients | |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Phoebe Putney Memorial Hospital Inc | Current | Accepting new patients | |
| Em Alliance LLC | Emergency Medicine | Current | 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.
-
- Rural Health Clinic/Center
- Dawson Springs, KY
- NPI 1982178216
-
- Emergency Medicine Physician
- Wellington, FL
- NPI 1922788959
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Wellington, FL
- NPI 1861172207
-
- Family Medicine Physician
- Jeffersonville, IN
- NPI 1811648827
Emergency Medicine
-
- Community/Retail Pharmacy
- Albany, GA
- NPI 1891315420
-
- Diagnostic Radiology Physician
- Bowie, MD
- NPI 1124057427
Emergency Medicine
-
- Emergency Medicine Physician
- Frisco, TX
- NPI 1740239763
-
- Emergency Medicine Physician
- Sherman, TX
- NPI 1104875624
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Palm Beach, FL
- NPI 1770515991
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Albany, GA
- NPI 1992789721
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.