Individual provider Active NPI

Tiffany Nealy, MD

  • Sleep Medicine (Family Medicine) Physician
  • Virginia Beach, VA
National Provider Identifier
1083110597
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
74981 Issued in VA
Practice address
291 Independence Blvd Ste 241
Virginia Beach, VA 23462-5480
Phone
(757) 335-6657
Fax
(757) 351-4255
NPI assigned
Apr 3, 2018
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 0101273658 VA
Family Medicine Physician 207Q00000X 0101273658 VA
Family Medicine Physician 207Q00000X 238850 NC
Family Medicine Physician 207Q00000X 8378851 WI
Sleep Medicine (Family Medicine) Physician 207QS1201X 74981 VA Primary

Addresses

Primary practice location

291 Independence Blvd Ste 241
Virginia Beach, VA 23462-5480

Mailing address

291 Independence Blvd Ste 241
Virginia Beach, VA 23462-5480
Phone (757) 335-6657

Other names 1

  • Dr. Tiffany Jen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20220718000376 VA Practitioner - Family Practice 6901153659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Gellman Medical LLCGroup PAC ID 2567870116, 2 clinicians

Practice addresses (Care Compare)

6330 N Ctr Dr
Suite 206
Norfolk, VA 23502-4008
Phone (757) 971-3406

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
238850NCMDHospice Registered Nurse
0101273658VAMDFamily Medicine Physician
8378851WIMDFamily Medicine Physician
74981VAMDSleep Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Martha Jefferson Medical Group LLC Family Medicine CurrentSince Aug 29, 2022 Accepting new patients
Gellman Medical LLC Sleep Medicine CurrentSince Dec 13, 2025 Accepting new patients
Hypnos Health Inc Sleep Medicine CurrentSince Dec 13, 2025 Accepting new patients

Locations

1646 Park Ridge Dr
Crozet, VA 22932
Phone (434) 654-2760

6330 N Center Dr
Ste 206
Norfolk, VA 23502
Phone (757) 335-6657

33 Rebecca Dr
Palmyra, VA 22963
Phone (434) 654-4680

291 Independence Blvd
Ste 241
Virginia Beach, VA 23462
Phone (757) 335-6657

Interoperability endpoints

  • Direct secure messaging: tjen770124@direct.sentara.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1083110597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 241",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625480",
            "telephone_number": "757-335-6657",
            "fax_number": "757-351-4255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 241",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625480",
            "telephone_number": "757-335-6657",
            "fax_number": "757-351-4255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEALY",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "VA",
            "license": "0101273658",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101273658",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "238850",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "8378851",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "VA",
            "license": "74981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "JEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.