Individual provider Active NPI

Tiffany S Owens, M.D.

  • Anesthesiology Physician
  • Charlotte, NC
National Provider Identifier
1104020817
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
V5202 Issued in TX
Practice address
3735 Glenlake Dr Ste 250
Charlotte, NC 28208-6866
Phone
(704) 749-5800
Fax
(704) 626-3237
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 79988 CT
Anesthesiology Physician 207L00000X 2019-02715 NC
Anesthesiology Physician 207L00000X 21797 MD
Anesthesiology Physician 207L00000X ME171870 FL
Anesthesiology Physician 207L00000X V5202 TX Primary

Addresses

Primary practice location

3735 Glenlake Dr Ste 250
Charlotte, NC 28208-6866

Mailing address

585 Main St Ste 145
Laurel, MD 20707-4354
Phone (301) 298-8267

Other practice location 1

585 Main St Ste 145
Laurel, MD 20707-4354
Phone (301) 298-8267

Other practice location 2

320 Pomfret St
Putnam, CT 06260-1869
Phone (860) 928-6541

Other practice location 3

12222 Merit Dr Ste 600
Dallas, TX 75251-3294
Phone (972) 715-5000

Other identifiers 1

IdentifierTypeStateIssuer
033938500MedicaidMD

Other names 1

  • Mrs. Tiffany S Owens-Pegues Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, NC, GA, CT, TX, FL7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20100903000072 DC Practitioner - Anesthesiology 0749304327 Reassigns benefits to 6 organizations
I20100917000367 MD Practitioner - Anesthesiology 0749304327 Reassigns benefits to 7 organizations
I20241016001353 NC Practitioner - Anesthesiology 0749304327 Reassigns benefits to 4 organizations
I20250303002016 GA Practitioner - Anesthesiology 0749304327
I20250602003427 CT Practitioner - Anesthesiology 0749304327 Reassigns benefits to 1 organization
I20250605002674 TX Practitioner - Anesthesiology 0749304327 Reassigns benefits to 2 organizations
I20250828002016 FL Practitioner - Anesthesiology 0749304327 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians
Sheridan Healthcorp IncGroup PAC ID 3173429693, 956 clinicians
Southeast Anesthesiology Consultants PLLCGroup PAC ID 7719959873, 92 clinicians
Anesthesia Company LLCGroup PAC ID 4587559026, 373 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1635 N Loop W
Greater Houston Anesthesiology
Houston, TX 77008-1532
Phone (713) 867-3300

201 E Sample Rd
Deerfield Beach, FL 33064-3502
Phone (954) 939-5000

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7000

800 Prince Frederick Blvd
Prince Frederick, MD 20678-3145
Phone (410) 535-2270

8905 Fairview Rd
Silver Spring, MD 20910-4150
Phone (888) 554-0631

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141
  • Round Rock Medical Center Hospital, Round Rock, TX, CCN 450718
  • Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
  • Broward Health Coral Springs Hospital, Coral Springs, FL, CCN 100276

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21797MDMDSocial Worker
79988CTMDAnesthesiology Physician
ME171870FLMDAnesthesiology Physician
2019-02715NCMDAnesthesiology Physician
V5202TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Austin Anesthesiology Group PLLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
Luminis Health Medical Group, LLC Current Accepting new patients
360 Anesthesia PLLC Anesthesiology CurrentSince Nov 12, 2025 Accepting new patients
Providence Anesthesiology Associates, P.a. Anesthesiology CurrentSince Sep 3, 2024 Accepting new patients
Sandman, LLC Anesthesiology CurrentSince Dec 5, 2024 Accepting new patients
Holy Cross Anesthesiology Associate PA Anesthesiology CurrentSince Feb 1, 2023 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Jul 1, 2019 Accepting new patients
U S Anesthesia Partners of Texas, PA Anesthesiology CurrentSince Jun 12, 2025 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Capital Care Anesthesia LLC Anesthesiology CurrentSince Nov 1, 2016 Accepting new patients
Francu One LLC CurrentSince Aug 12, 2016 Accepting new patients
Austin Anesthesiology Group, PLLC Anesthesiology CurrentSince Apr 1, 2025 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Anesthesiology CurrentSince Jun 12, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 24, 2026 Accepting new patients
North American Partners in Anesthesia Connecticut PC Anesthesiology CurrentSince May 15, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 24, 2026 Accepting new patients
Luminis Health Medical Group, LLC CurrentSince Apr 1, 2020 Accepting new patients
Global Anesthesia Services LLC Anesthesiology CurrentSince Feb 1, 2017 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Aug 1, 2025 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Nov 1, 2016 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations (25 of 45)

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

320 Pomfret St
Putnam, CT 06260
Phone (860) 963-6331

201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

626C Admiral Dr
#324
Annapolis, MD 21401

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

810 Bestgate Rd
Ste 120
Annapolis, MD 21401

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

116 Defense Hwy
Ste 403
Annapolis, MD 21401
Phone (410) 671-2941

6430 Rockledge Dr
Ste 160
Bethesda, MD 20817
Phone (301) 312-6144

14999 Health Center Dr
Ste 103
Bowie, MD 20716
Phone (301) 262-5511

9001 Woodyard Rd
Ste B
Clinton, MD 20735
Phone (301) 868-4950

6816 Deerpath Rd
Elkridge, MD 21075
Phone (410) 757-5019

308 Hospital Dr
Ste 102
Glen Burnie, MD 21061
Phone (410) 760-8100

301 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 787-4565

7474 Greenway Center Dr
Greenbelt, MD 20770
Phone (240) 304-8309

3421 Benson Ave
Ste G100
Halethorpe, MD 21227
Phone (202) 221-8442

7300 Van Dusen Rd
Laurel, MD 20707
Phone (301) 725-4300

70 Sherry Ln
Prince Frederick, MD 20678
Phone (443) 486-4230

800 Prince Frederick Blvd
Prnc Frederck, MD 20678
Phone (410) 535-2270

70 Sherry Ln
Ste 101
Prnc Frederck, MD 20678
Phone (410) 889-2040

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

Organizations & group practices 26

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 26

Hospital & facility affiliations 9

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1104020817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 MAIN ST STE 145",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207074354",
            "telephone_number": "301-298-8267",
            "fax_number": "301-517-9386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3735 GLENLAKE DR STE 250",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282086866",
            "telephone_number": "704-749-5800",
            "fax_number": "704-626-3237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "585 Main St Ste 145",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074354",
            "country_code": "US",
            "telephone_number": "301-298-8267",
            "fax_number": "301-517-9386",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "320 Pomfret St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601869",
            "country_code": "US",
            "telephone_number": "860-928-6541",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12222 Merit Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752513294",
            "country_code": "US",
            "telephone_number": "972-715-5000",
            "fax_number": "972-715-9976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "TIFFANY",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "79988",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2019-02715",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "21797",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME171870",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "V5202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033938500",
            "state": "MD"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "8101 Sandy Spring Rd Ste 300",
            "city": "Laurel",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207073596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "OWENS-PEGUES",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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Sources for this page

Verify at the official NPI Registry.