Individual provider Active NPI

Tiffany Sanders Alima, D.O

  • Emergency Medicine Physician
  • Atlanta, GA
National Provider Identifier
1073756730
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
67606 Issued in GA
Practice address
235 Peachtree St NE
North Tower, Suite 2100
Atlanta, GA 30303-1401
Phone
(770) 994-4747
NPI assigned
Apr 10, 2009
Last updated
Feb 17, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 67606 GA Primary

Addresses

Primary practice location

235 Peachtree St NE
North Tower, Suite 2100
Atlanta, GA 30303-1401

Mailing address

2238 Ewell Park Dr
Lawrenceville, GA 30043-1707

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120717000174 GA Practitioner - Emergency Medicine 8921264185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Philadelphia College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northside Emergency Associates, P.C.Group PAC ID 9335135144, 41 clinicians

Practice addresses (Care Compare)

1000 Johnson Ferry Rd
Atlanta, GA 30342-1606
Phone (404) 851-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
67606GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emerginet, LLC CurrentSince Jul 1, 2012 Accepting new patients
Northside Emergency Associates, LLC Emergency Medicine CurrentSince Jan 1, 2015 Accepting new patients
Emerginet Henry, LLC CurrentSince Jul 1, 2012 Accepting new patients
Parkway Anesthesia Consultants, PC Past Accepting new patients
Cherokee Emergency Services, LLC Past Accepting new patients

Locations

235 Peachtree St NE
Ste 2100
Atlanta, GA 30303
Phone (770) 994-4747

201 Hospital Rd
Canton, GA 30114
Phone (770) 479-1941

1000 Thornton Rd
Lithia Springs, GA 30122
Phone (770) 732-7660

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1133 Eagles Landing Pkwy
Stockbridge, GA 30281
Phone (678) 604-1000

Organizations & group practices 5

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": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1073756730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2238 EWELL PARK DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300431707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PEACHTREE ST NE",
            "address_2": "NORTH TOWER, SUITE 2100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031401",
            "telephone_number": "770-994-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALIMA",
        "first_name": "TIFFANY",
        "middle_name": "SANDERS",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "67606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.