Tiffany T Byrd, M.D.
Individual provider Active NPI Family Medicine Physician · Fort Benning, GA
NPI 1043316052 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1043316052
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 56623 (GA)
- Practice address
- 6600 Van Aalst Blvd
Fort Benning, GA 31905-2102 - Phone
- (706) 544-5913
- Fax
- (762) 408-8154
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056623 | GA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Fordham | Family Medicine | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 56623 | GA | Yes |
| Family Medicine Physician | 207Q00000X | 056623 | GA |
Addresses
Primary practice location
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Mailing address
6600 Van Aalst Blvd
Fort Benning, GA 31905-2102
Phone (706) 544-5913
Other names
- Dr. Tiffany T Peters
Other providers in Fort Benning, GA
- Crystel S Burroughs
- Jack Burton
- Amelia Lea Butler
- Gary Richard Byars Jr.
- John J Byers
- Jeffrey Michael Callin
- John David Allen Campagna
- Avril Campbell-Sims
- Kala Campbell
- Dean Canestrini II
All providers in Fort Benning, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.