Active NPI
Tiffany Morgan, NP
- Women's Health Nurse Practitioner
- Canton, GA
National Provider Identifier
1023783099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 104785844
- Practice address
- 1219 Univeter Rd
Canton, GA 30115-8261 - Phone
- (770) 345-7371
- NPI assigned
- Aug 12, 2021
- Last updated
- Oct 9, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 104785844 | GA | Primary |
| Registered Nurse | 163W00000X | RN236819 | GA |
Addresses
Primary practice location
1219 Univeter Rd
Canton, GA 30115-8261
Mailing address
3200 Downwood Cir NW Ste 220
Atlanta, GA 30327-1611
Phone (404) 334-9103
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250728000193 | GA | Practitioner - Nurse Practitioner | 2567979321 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN236819 | GA | MD | Registered Nurse |
| 104785844 | GA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ideal Gynecology | Current | Accepting new patients | |
| Ideal Gynecology 2, LLC | Past | Accepting new patients | |
| Pickens County Department of Public Health | Past | Accepting new patients |
Locations
3200 Downwood Cir NW
Ste 220
Atlanta, GA 30327
Phone (404) 334-9103
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Atlanta, GA
- NPI 1508222423
-
- Obstetrics & Gynecology Physician
- Atlanta, GA
- NPI 1003343963
-
dba Pickens County Health Department
- Public Health or Welfare Agency
- Jasper, GA
- NPI 1780658757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1023783099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 DOWNWOOD CIR NW STE 220",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303271611",
"telephone_number": "404-334-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1219 UNIVETER RD",
"city": "CANTON",
"state": "GA",
"postal_code": "301158261",
"telephone_number": "770-345-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORGAN",
"first_name": "TIFFANY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "GA",
"license": "104785844",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN236819",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.