Individual provider Active NPI

Tiffany Bess Quinton, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Eatonton, GA
National Provider Identifier
1275994261
Registry record updated Apr 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN220946 Issued in GA
Practice address
101 Lake Oconee Pkwy
Eatonton, GA 31024-8512
Phone
(706) 485-2711
NPI assigned
Mar 17, 2016
Last updated
Apr 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN220946 GA Primary
Adult Health Nurse Practitioner 363LA2200X RN220946 GA
Gerontology Nurse Practitioner 363LG0600X RN220946 GA

Addresses

Primary practice location

101 Lake Oconee Pkwy
Eatonton, GA 31024-8512

Mailing address

3320 Old Jefferson Rd Ste 200a
Athens, GA 30607-1478
Phone (706) 549-5560

Other practice location 1

1230 Baxter St
Athens, GA 30606-3712
Phone (706) 389-3750

Other practice location 2

3320 Old Jefferson Rd Ste 200A
Athens, GA 30607-1478
Phone (706) 549-5560

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170724002347 GA Practitioner - Nurse Practitioner 3274803200 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Lake Oconee Pkwy
Eatonton, GA 31024-6054

101 Lake Oconee Pkwy
Eatonton, GA 31024-8512
Phone (706) 923-2002

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN220946GAMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Putnam General Hospital Authority CurrentSince Jun 18, 2022 Accepting new patients
Northside Primary Care Professional Services, LLC CurrentSince Mar 1, 2021 Accepting new patients
Putnam General Hospital Authority CurrentSince Jun 18, 2022 Accepting new patients
Gwinnett Physician Group, LLC CurrentSince Mar 1, 2021 Accepting new patients
Athens Pulmonary and Allergy, P.C. CurrentSince Sep 27, 2017 Accepting new patients
Northside Primary Care Professional Services,LLC Current Accepting new patients

Locations

3320 Old Jefferson Rd
Ste 200A
Athens, GA 30607
Phone (706) 549-5560

101 Lake Oconee Pkwy
Eatonton, GA 31024
Phone (706) 485-0907

1000 Medical Center Blvd
Lawrenceville, GA 30046
Phone (678) 312-3356

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

3350 Paddocks Pkwy
Suwanee, GA 30024
Phone (678) 474-9633

Organizations & group practices 6

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1458172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650585600000",
    "number": "1275994261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 OLD JEFFERSON RD STE 200A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306071478",
            "telephone_number": "706-549-5560",
            "fax_number": "706-543-2593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 LAKE OCONEE PKWY",
            "city": "EATONTON",
            "state": "GA",
            "postal_code": "310248512",
            "telephone_number": "706-485-2711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 Baxter St",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306063712",
            "country_code": "US",
            "telephone_number": "706-389-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3320 Old Jefferson Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306071478",
            "country_code": "US",
            "telephone_number": "706-549-5560",
            "fax_number": "706-543-2593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTON",
        "first_name": "TIFFANY",
        "middle_name": "BESS",
        "name_prefix": "Mrs.",
        "credential": "ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-17",
        "last_updated": "2022-04-22",
        "certification_date": "2022-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "GA",
            "license": "RN220946",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "GA",
            "license": "RN220946",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "GA",
            "license": "RN220946",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eatonton, GA

Sources for this page

Verify at the official NPI Registry.