Individual provider Active NPI

Tiffany Smiling, FNP

  • Family Nurse Practitioner
  • Plymouth, NC
National Provider Identifier
1053169946
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5020028 Issued in NC
Practice address
1509 Mackeys Rd
Plymouth, NC 27962-9038
Phone
(910) 249-0093
NPI assigned
May 7, 2024
Last updated
Jun 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5020028 NC
Family Nurse Practitioner 363LF0000X 5020028 NC Primary

Addresses

Primary practice location

1509 Mackeys Rd
Plymouth, NC 27962-9038

Mailing address

1509 Mackeys Rd
Plymouth, NC 27962-9038
Phone (910) 249-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240826000672 NC Practitioner - Nurse Practitioner 9537602594 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

130 James Ave
Locust, NC 28097-4506
Phone (704) 296-4508

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8108

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5020028NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jun 25, 2024 Accepting new patients
Mainstreet and Kidsstreet of North Carolina PLLC CurrentSince Jun 25, 2024 Accepting new patients
Universal Health Corporation CurrentSince May 28, 2024 Accepting new patients
Usacs Integrated Acute Care Services of North Carolina, PLLC CurrentSince Sep 29, 2025 Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC CurrentSince Sep 29, 2025 Accepting new patients
Centennial Housing & Community Services Corporation Past Accepting new patients
Centennial Housing & Community Services Corporation Past Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1987 Hilton Rd
Burlington, NC 27217
Phone (336) 226-0848

3050 Halstead Blvd Ext
Rm 2147
Elizabeth City, NC 27909
Phone (330) 492-4443

1144 N Road St
Elizabeth Cty, NC 27909
Phone (252) 384-4610

130 James Ave
Locust, NC 28097
Phone (704) 271-3777

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1053169946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 MACKEYS RD",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629038",
            "telephone_number": "910-249-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 MACKEYS RD",
            "city": "PLYMOUTH",
            "state": "NC",
            "postal_code": "279629038",
            "telephone_number": "910-249-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMILING",
        "first_name": "TIFFANY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5020028",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5020028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, NC

Sources for this page

Verify at the official NPI Registry.