Active NPI
Tiffeny S. Carroll, M.D.
- Obstetrics & Gynecology Physician
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 081559
- Practice address
- 775 Poplar Rd Ste 120
Newnan, GA 30265-8301 - Phone
- (770) 400-4523
- NPI assigned
- Feb 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 081559 | GA | Primary |
Addresses
Primary practice location
775 Poplar Rd Ste 120
Newnan, GA 30265-8301
Mailing address
2727 Paces Ferry Rd SE Ste 1-1100
Atlanta, GA 30339-6151
Phone (770) 400-4523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Medical College of Georgia School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
775 Poplar Rd
Suite 120
Newnan, GA 30265-8300
Phone (770) 400-4510
Hospital & facility affiliations
- Piedmont Newnan Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081559 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Providers LLC | Current | Accepting new patients | |
| Piedmont Newnan Hospital, Inc. | Past | Accepting new patients |
Locations
2727 Paces Ferry Rd SE
Ste 1-1100
Atlanta, GA 30339
Phone (470) 271-3421
1984 Peachtree Rd NW
Ste 300
Atlanta, GA 30309
Phone (404) 367-3210
775 Poplar Rd
Ste 120
Newnan, GA 30265
Phone (770) 400-4510
795 Poplar Rd
Ste 201
Newnan, GA 30265
Phone (770) 400-7880
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.
-
- Internal Medicine Physician
- Jasper, GA
- NPI 1548273592
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newnan, GA
- NPI 1134133002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1174598585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2727 PACES FERRY RD SE STE 1-1100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303396151",
"telephone_number": "770-400-4523",
"fax_number": "678-423-2737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "775 POPLAR RD STE 120",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302658301",
"telephone_number": "770-400-4523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARROLL",
"first_name": "TIFFENY",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-20",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "081559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.