NPIMap

Organization Active NPI

Tierney Orthotics and Prosthetics Inc.

  • Prosthetic/Orthotic Supplier
  • Greensboro, NC
National Provider Identifier
1235978677
Registry record updated Jan 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
Legal business name
TIERNEY ORTHOTICS AND PROSTHETICS INC.
Practice address
1409 Yanceyville St Ste B
Greensboro, NC 27405-6961
Phone
(336) 537-3901
Fax
(336) 893-9537
NPI assigned
May 24, 2024
Organization subpart
Yes
Parent organization
TIERNEY ORTHOTICS AND PROSTHETICS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2026

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

Authorized official

Name
Geoffrey Tibbs, CO
Title
Director of Cranial
Phone
(336) 830-4762

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Prosthetic/Orthotic Supplier 335E00000X Primary

Addresses

Primary practice location

1409 Yanceyville St Ste B
Greensboro, NC 27405-6961

Mailing address

1345 Westgate Center Dr Ste B
Winston Salem, NC 27103-3041
Phone (336) 546-7165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250204001765 NC DME Supplier - Prosthetic PersonnelDME Supplier - Orthotic Personnel 5597080002 Practice locations: Greensboro, NC

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Tierney Orthotics and Prosthetics I1409 Yanceyville St, Greensboro, NC 27405-6961(336) 537-3901 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Breast Prostheses and/or Accessories|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 6, 2015

National Provider Directory

National Provider Directory
Tax ID family
Tierney Orthotics and Prosthetics Inc4 organizations share this tax ID, including this one
Part of
Tierney Orthotics and Prosthetics Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1345 Westgate Center Dr
Ste B
Winston Salem, NC 27103
Phone (336) 546-7165

NPI Registry JSON

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

{
    "created_epoch": "1716508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767744000000",
    "number": "1235978677",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 YANCEYVILLE ST STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056961",
            "telephone_number": "336-537-3901",
            "fax_number": "336-893-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIERNEY ORTHOTICS AND PROSTHETICS INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIERNEY ORTHOTICS AND PROSTHETICS INC",
        "enumeration_date": "2024-05-24",
        "last_updated": "2026-01-07",
        "certification_date": "2026-01-07",
        "status": "A",
        "authorized_official_last_name": "TIBBS",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "DIRECTOR OF CRANIAL",
        "authorized_official_telephone_number": "336-830-4762",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.