Active NPI
Tiffany Ann Fowler, CNM
- Advanced Practice Midwife
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- Practice address
- 2376 Cypress Cir Ste 200
Conway, SC 29526-8994 - Phone
- (843) 347-7216
- NPI assigned
- Jun 10, 2019
- Last updated
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | NU | Primary |
Addresses
Primary practice location
2376 Cypress Cir Ste 200
Conway, SC 29526-8994
Mailing address
300 Singleton Ridge Rd
Attention PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946
Other practice location 1
5010 Carolina Forest Blvd
Myrtle Beach, SC 29579-3579
Phone (843) 903-1010
Other practice location 2
6010 Highway 707, Ste 300
Myrtle Beach, SC 29588-7321
Phone (843) 347-7216
Other practice location 3
620 Singleton Ridge Rd
Conway, SC 29526-9154
Phone (843) 347-7216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MW0265 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 642-5832
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients | |
| Columbus Regional Health Network | Current | Accepting new patients |
Locations
14508 James B White Hwy S
Tabor City, NC 28463
Phone (910) 641-8680
619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331
Organizations & group practices 3
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.
-
dba Advanced Family Care
- Hospitalist Physician
- Whiteville, NC
- NPI 1508001009
-
dba Advanced Primary Care
- Family Medicine Physician
- Whiteville, NC
- NPI 1518263268
-
dba Advanced Orthopedics
- Orthopaedic Surgery Physician
- Whiteville, NC
- NPI 1790224962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1366001752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"address_2": "ATTENTION PNS CREDENTIALING",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-234-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2376 CYPRESS CIR STE 200",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268994",
"telephone_number": "843-347-7216"
}
],
"practiceLocations": [
{
"address_1": "5010 Carolina Forest Blvd",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295793579",
"country_code": "US",
"telephone_number": "843-903-1010",
"fax_number": "843-903-1015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6010 Highway 707, Ste 300",
"address_purpose": "LOCATION",
"city": "Myrtle Beach",
"state": "SC",
"postal_code": "295887321",
"country_code": "US",
"telephone_number": "843-347-7216",
"fax_number": "843-347-7218",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "620 Singleton Ridge Rd",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295269154",
"country_code": "US",
"telephone_number": "843-347-7216",
"fax_number": "843-347-7218",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOWLER",
"first_name": "TIFFANY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-06-10",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MW0265",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.