Tiffany Copeland, RPSGT

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

11000 Issued in GA

Practice address

148 Bill Carruth Pkwy Ste 290
Hiram, GA 30141-3764

Phone

(470) 644-1709

NPI assigned

Apr 24, 2024

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 24, 2024.

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1043066871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 BILL CARRUTH PKWY STE 290",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413764",
            "telephone_number": "470-644-1709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 BILL CARRUTH PKWY STE 290",
            "city": "HIRAM",
            "state": "GA",
            "postal_code": "301413764",
            "telephone_number": "470-644-1709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8954 Hospital Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301342272",
            "country_code": "US",
            "telephone_number": "770-644-1755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPELAND",
        "first_name": "TIFFANY",
        "credential": "RPSGT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-24",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "GA",
            "license": "11000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CMC Logistics and Transport LLC
• Gabrielle Cobb, LCSW
• Jennifer Elizabeth Collins, FNP-C
• Complete Display Systems, Inc.
• Benjamin David Conner, D.C.
• Nicholas Corneillie, OD
• Cornerstone Chiropractic PC
• Counseling, Hypnotherapy, and Life Coaching Services of Hiram
• Covered N Confidence
• Nicki Ann Covey, MS, NCC, LPC

• All providers in Hiram, GA
• Other Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.