Tiffany Joyce Ulu

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12278 Issued in NC

Practice address

2301 Robeson St Ste 203
Fayetteville, NC 28305-5641

Phone

(910) 615-3220

Fax

(910) 486-2170

NPI assigned

Dec 6, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Pavana Treatment Group PCGroup PAC ID 1456743095, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tulu102213@capefearvalley.direct-ci.com

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.

• Pavana Treatment Group, P.C.

  • Addiction Medicine (Anesthesiology) Physician
  • Gastonia, NC
  • NPI 1043849896
  Medicare reassignment Care Compare group
• Cumberland County Hospital System Inc

  dba Oncology Services

  • Hematology & Oncology Physician
  • Fayetteville, NC
  • NPI 1881946242
  Medicare reassignment
• Cumberland County Hospital System Inc

  dba Valley Medical Associates

  • Internal Medicine Physician
  • Fayetteville, NC
  • NPI 1588668396
  NPD

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

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1285392431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST STE 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055641",
            "telephone_number": "910-615-3220",
            "fax_number": "910-486-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ROBESON ST STE 203",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055641",
            "telephone_number": "910-615-3220",
            "fax_number": "910-486-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULU",
        "first_name": "TIFFANY",
        "middle_name": "JOYCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-06",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Chigbo Udoh, MD
• Michelle Ugboaja, PHARMD
• Terri Ullmann
• Adam Ulrich
• Ultra Imaging, LLC
• Tamara Ulysse, PHD
• Mi-Young Um, PA-C
• Chinazor Okwor Umerah, M.D.,
• Giselle Underwood, LCSWA
• Naja Underwood, LPC

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.