Individual provider Active NPI

Tiffany Lynn Radney, CNM

  • Advanced Practice Midwife
  • Albany, GA
National Provider Identifier
1154183853
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
RN257237 Issued in GA
Practice address
2100 Palmyra Rd
Albany, GA 31701-1320
Phone
(229) 888-3636
Fax
(229) 329-7373
NPI assigned
Jan 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X RN257237 GA Primary

Addresses

Primary practice location

2100 Palmyra Rd
Albany, GA 31701-1320

Mailing address

675 Airport Rd
Cairo, GA 39828-3762
Phone (229) 977-3092

Other names 1

  • Tiffany Lynn Dollar Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240312000518 GA Practitioner - Certified Nurse Midwife (CNM) 9537505615 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2100 Palmyra Rd
Albany, GA 31701-1320
Phone (229) 888-3636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
RN257237GAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Area Primary Health Care, Inc. Current Accepting new patients
Albany Area Primary Health Care, Inc. CurrentSince Mar 18, 2024 Accepting new patients
Albany Area Primary Health Care, Inc CurrentSince Mar 18, 2024 Accepting new patients
Phoebe Putney Memorial Hospital Inc Past Accepting new patients
Albany Area Primary Health Care, Inc. Past Accepting new patients

Locations

2408 Westgate Dr
Albany, GA 31707
Phone (229) 888-6559

204 Westover Blvd
Albany, GA 31707
Phone (229) 888-6559

2100 Palmyra Rd
Albany, GA 31701
Phone (229) 446-1990

1912 Arlington Ln
Albany, GA 31701
Phone (229) 501-2048

2001 Leonard Ave
Albany, GA 31705
Phone (229) 435-9934

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1154183853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 AIRPORT RD",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398283762",
            "telephone_number": "229-977-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PALMYRA RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011320",
            "telephone_number": "229-888-3636",
            "fax_number": "229-329-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADNEY",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "GA",
            "license": "RN257237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "DOLLAR",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, GA

Sources for this page

Verify at the official NPI Registry.