Geoffrey Tibbs, CO, CPA

Primary specialty

OrthotistTaxonomy code 222Z00000X

Practice address

1345 Westgate Center Dr Ste B
Winston Salem, NC 27103-3041

Phone

(336) 546-7165

Fax

(866) 403-2483

NPI assigned

Apr 7, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Tierney Orthotics and Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • North Wilkesboro, NC
  • NPI 1396472908

  Orthotist

  NPD (past)

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1194189084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 WESTGATE CENTER DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033041",
            "telephone_number": "336-546-7165",
            "fax_number": "866-403-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 WESTGATE CENTER DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033041",
            "telephone_number": "336-546-7165",
            "fax_number": "866-403-2483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41 Boone Trl",
            "address_purpose": "LOCATION",
            "city": "North Wilkesboro",
            "state": "NC",
            "postal_code": "286593512",
            "country_code": "US",
            "telephone_number": "336-546-7165 x118",
            "fax_number": "866-403-2483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIBBS",
        "first_name": "GEOFFREY",
        "credential": "CO, CPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-07",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497158554",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton Thrasher
• Curtis Markee Threatt, OPTICIAN
• Three Pillow System
• Danielle Kathleen Thrower, PA-C
• Wiley Darro Thuet, M.D.
• Jeffrey J. Tibbs, D.D.S., P.A.
• Denise Tickle, PT
• Donna Kay Tickle, OTRL
• Jennifer Barefoot Tidwell, NP-C
• Tess Alene Tidwell

• Orthotist in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Orthotist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.