Individual provider Active NPI

Tiffany Muhammad

  • Clinical Laboratory Director (Non-physician)
  • McDonough, GA
National Provider Identifier
1245073584
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
Practice address
155 Westridge Pkwy Ste 225
McDonough, GA 30253-3052
Phone
(770) 258-6765
Fax
(678) 348-7103
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X GA
Clinical Laboratory Director (Non-physician) 247ZC0005X GA Primary

Addresses

Primary practice location

155 Westridge Pkwy Ste 225
McDonough, GA 30253-3052

Mailing address

155 Westridge Pkwy Ste 225C7
McDonough, GA 30253-3049
Phone (770) 258-6765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Dna Paternity Solutions LLC CurrentSince Jun 16, 2024 Accepting new patients

Locations

155 Westridge Pkwy
Ste 225
McDonough, GA 30253
Phone (770) 258-6765

155 Westridge Pkwy
Ste 225C7
McDonough, GA 30253

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.

NPI Registry JSON

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

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1245073584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 225C7",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533049",
            "telephone_number": "770-258-6765",
            "fax_number": "678-348-7103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533052",
            "telephone_number": "770-258-6765",
            "fax_number": "678-348-7103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "TIFFANY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; 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.