Active NPI
Tiffany Waliker
- Psychiatric/Mental Health Registered Nurse
- Sandersville, GA
National Provider Identifier
1033961271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- RN265530
- Practice address
- 136 Oscar Drive
Sandersville, GA 31082 - Phone
- (478) 232-6522
- NPI assigned
- Apr 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN265530 | GA | Primary |
Addresses
Primary practice location
136 Oscar Drive
Sandersville, GA 31082
Mailing address
136 Oscar Drive
Sandersville, GA 31082
Phone (478) 232-6522
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN265530 | GA | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1033961271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 OSCAR DRIVE",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "31082",
"telephone_number": "478-232-6522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "136 OSCAR DRIVE",
"city": "SANDERSVILLE",
"state": "GA",
"postal_code": "31082",
"telephone_number": "478-232-6522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALIKER",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-02",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "GA",
"license": "RN265530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandersville, GA
- James H Tinley, MD
- Trinity Loving Care Mobile Transportation, LLC
- Lori Crenshaw Vaughn
- Wal-Mart Stores East LP (Walmart Pharmacy 10-1143)
- Wal-Mart Stores East, LP (Vision Center 30-1143)
- Washington County Board of Education
- Washington County Board of Health
- Washington County Emergency Medicine Group, LLC (Washington County Regional Medical Center)
- Washington County Internal Medicine, P.C.
- Washington County Regional Medical Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.