Active NPI
Tiffany Marche Wright
- Professional Counselor
- Atlanta, GA
National Provider Identifier
1235884974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC006840
- Practice address
- 220 Bill Kennedy Way SE # Apta416
Atlanta, GA 30316-7214 - Phone
- (912) 596-0914
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC006840 | GA | Primary |
Addresses
Primary practice location
220 Bill Kennedy Way SE # Apta416
Atlanta, GA 30316-7214
Mailing address
220 Bill Kennedy Way SE # Apta416
Atlanta, GA 30316-7214
Phone (912) 596-0914
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Mercer University School of Medicine, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
470 Dacula Rd
Unit 1983
Dacula, GA 30019-9998
874 Lanier Ave W
Suite 250
Fayetteville, GA 30214-7662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC006840 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regenerative Spine and Pain Specialists | Current | Accepting new patients |
Locations
874 Lanier Ave W
Ste 250
Fayetteville, GA 30214
Phone (404) 618-0995
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FFEBCD
- https://fhir4.healow.com/fhir/r4/FFEBCD/Endpoint/FFEBCD
Organizations & group practices 1
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.
-
- Interventional Pain Medicine Physician
- Fayetteville, GA
- NPI 1578193355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1235884974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 BILL KENNEDY WAY SE # APTA416",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303167214",
"telephone_number": "912-596-0914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 BILL KENNEDY WAY SE # APTA416",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303167214",
"telephone_number": "912-596-0914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WRIGHT",
"first_name": "TIFFANY",
"middle_name": "MARCHE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC006840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.