Individual provider Active NPI

Tiffany Wu, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Decatur, GA
National Provider Identifier
1174179576
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN260060 Issued in GA
Practice address
160 Clairemont Ave Ste 445
Decatur, GA 30030-2574
Phone
(404) 500-4266
NPI assigned
Aug 13, 2019
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 307139 AZ
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1112869 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN260060 GA Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 4047398 KY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11937 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0039040 OH
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 74988 ID
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP031086 PA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3-001558 AL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8848 MN
Psychiatric/Mental Health Nurse Practitioner 363LP0808X TPAN3863 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X C-APN.0105264-C-NP CO
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN10001611 MA

Addresses

Primary practice location

160 Clairemont Ave Ste 445
Decatur, GA 30030-2574

Mailing address

PO Box 450383
Atlanta, GA 31145-0383

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3-001558ALMDPsychiatric/Mental Health Nurse Practitioner
307139AZMDPsychiatric/Mental Health Nurse Practitioner
C-APN.0105264-C-NPCOMDPsychiatric/Mental Health Nurse Practitioner
11937CTMDPsychiatric/Mental Health Nurse Practitioner
TPAN3863FLMDPsychiatric/Mental Health Nurse Practitioner
RN260060GAMDPsychiatric/Mental Health Nurse Practitioner
74988IDMDPsychiatric/Mental Health Nurse Practitioner
4047398KYMDPsychiatric/Mental Health Nurse Practitioner
APRN10001611MAMDPsychiatric/Mental Health Nurse Practitioner
8848MNMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0039040OHMDPsychiatric/Mental Health Nurse Practitioner
SP031086PAMDPsychiatric/Mental Health Nurse Practitioner
1112869TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Roy Q Sanders, MD PC CurrentSince Jan 29, 2023 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2019 Accepting new patients
Personal Recovery Network LLC CurrentSince Mar 27, 2023 Accepting new patients

Locations

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

1720 7th Ave S
Birmingham, AL 35233
Phone (205) 934-5151

619 19th St S
Birmingham, AL 35249

160 Clairemont Ave
Ste 445
Decatur, GA 30030
Phone 4045004266 ext. 121

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

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": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1174179576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450383",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311450383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE STE 445",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302574",
            "telephone_number": "404-500-4266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WU",
        "first_name": "TIFFANY",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "307139",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1112869",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN260060",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "4047398",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "11937",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0039040",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "ID",
            "license": "74988",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP031086",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AL",
            "license": "3-001558",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MN",
            "license": "8848",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "TPAN3863",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "C-APN.0105264-C-NP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "APRN10001611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

Verify at the official NPI Registry.