NPIMap

Individual provider Active NPI

Tiffany Ann Powell, MD

  • Family Medicine Physician
  • Moneta, VA
National Provider Identifier
1255318978
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101050306 Issued in VA
Practice address
70 Westwind Rd
Moneta, VA 24121-3726
Phone
(540) 721-7333
Fax
(540) 721-4971
NPI assigned
Dec 22, 2005
Last updated
Jun 5, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101050306 VA Primary

Addresses

Primary practice location

70 Westwind Rd
Moneta, VA 24121-3726

Mailing address

70 Westwind Rd
Moneta, VA 24121-3726
Phone (540) 721-7333

Other identifiers 3

IdentifierTypeStateIssuer
010038545MedicaidVA
466530OtherANTHEM
P00086303OtherMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031111000088 VA Practitioner - Family Practice 1759294531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Eastern Virginia Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smith Mountain Lake Family Practice, PCGroup PAC ID 4789679291, 2 clinicians

Practice addresses (Care Compare)

70 Westwind Rd
Moneta, VA 24121-3726
Phone (540) 721-7333

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101050306VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Mountain Lake Family Practice PC Family Medicine CurrentSince Jul 30, 2016 Accepting new patients
Carilion Healthcare Corporation Past Accepting new patients

Locations

70 Westwind Rd
Moneta, VA 24121
Phone (540) 721-7333

Interoperability endpoints

  • Direct secure messaging: tiffany.powell.1@24676.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1255318978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WESTWIND RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241213726",
            "telephone_number": "540-721-7333",
            "fax_number": "540-721-4971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 WESTWIND RD",
            "city": "MONETA",
            "state": "VA",
            "postal_code": "241213726",
            "telephone_number": "540-721-7333",
            "fax_number": "540-721-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101050306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010038545",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "466530",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00086303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moneta, VA

Sources for this page

Verify at the official NPI Registry.