Individual provider Active NPI

Tiffany Good, M.D.

  • Family Medicine Physician
  • Chattanooga, TN
National Provider Identifier
1144529819
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51179 Issued in TN
Practice address
1300 E 23Rd St
Chattanooga, TN 37404-5701
Phone
(423) 760-4000
Fax
(423) 760-4051
NPI assigned
Mar 21, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 51179 TN Primary

Addresses

Primary practice location

1300 E 23Rd St
Chattanooga, TN 37404-5701

Mailing address

3030 Covington Pike
Memphis, TN 38128-5048
Phone (901) 383-8889

Other identifiers 1

IdentifierTypeStateIssuer
Q006135MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20140804001502 TN Practitioner - Family Practice 6103059274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Medicos, PLLCGroup PAC ID 6204152291, 6 clinicians

Practice addresses (Care Compare)

1144 E 23Rd St
Chattanooga, TN 37408-2213

1148 E 23Rd St
Chattanooga, TN 37408-2213
Phone (423) 760-4000

1300 E 23Rd St
Chattanooga, TN 37404-5701

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51179TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
OB Medicos, PLLC CurrentSince Jul 1, 2015 Accepting new patients
Clinica Sonrisas LLC PastSince Oct 22, 2023 Accepting new patients

Locations

1148 E 23rd St
Ste 102
Chattanooga, TN 37408

1148 E 23rd St
Chattanooga, TN 37408
Phone (423) 760-4000

1300 E 23rd St
Chattanooga, TN 37404
Phone (423) 760-4000

Interoperability endpoints

  • Direct secure messaging: meador.tiffany.1@26609.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1144529819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381285048",
            "telephone_number": "901-383-8889",
            "fax_number": "901-384-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 E 23RD ST",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374045701",
            "telephone_number": "423-760-4000",
            "fax_number": "423-760-4051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOOD",
        "first_name": "TIFFANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-21",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "51179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q006135",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

Verify at the official NPI Registry.