Individual provider Active NPI

Tiffany Renee Rainey, NP-C

  • Nurse Practitioner
  • Monroe, GA
National Provider Identifier
1366758138
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F0710420 Issued in GA
Practice address
2151 W Spring St
Monroe, GA 30655-3115
Phone
(770) 267-1828
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F0710420 GA Primary

Addresses

Primary practice location

2151 W Spring St
Monroe, GA 30655-3115

Mailing address

106 Broad St
Loganville, GA 30052-7463
Phone (678) 635-8130

Other identifiers 1

IdentifierTypeStateIssuer
003105882AMedicaidGA

Other names 1

  • Tiffany Renee Wheeler Other name

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
I20101215000692 GA Practitioner - Nurse Practitioner 1052508132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Non-Surgical Orthopaedics PCGroup PAC ID 5991783045, 4 clinicians

Practice addresses (Care Compare)

1301 Sigman Rd NE
Suite 100
Conyers, GA 30012-3819
Phone (770) 760-9360

Merit-based Incentive Payment System (MIPS)

Final score
50.89 of 100Reported as group
Quality
13.1
Promoting interoperability
100
Improvement activities
0
Cost
73.19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0710420GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Non-Surgical Orthopaedics PC CurrentSince Oct 1, 2025 Accepting new patients
Non-Surgical Orthopaedics PC CurrentSince Oct 1, 2025 Accepting new patients

Locations

418 Bradley St
Carrollton, GA 30117
Phone (770) 214-9146

1301 Sigman Rd NE
Ste 100
Conyers, GA 30012
Phone (770) 285-6012

335 Roselane St NW
Marietta, GA 30060
Phone (770) 420-4645

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/AJIAAA
  • Direct secure messaging: tiffany.rainey.p3@direct.precisionspinecare.nextgenshare.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1366758138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 BROAD ST",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300527463",
            "telephone_number": "678-635-8130",
            "fax_number": "678-635-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306553115",
            "telephone_number": "770-267-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINEY",
        "first_name": "TIFFANY",
        "middle_name": "RENEE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "F0710420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003105882A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "WHEELER",
            "middle_name": "RENEE",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, GA

Sources for this page

Verify at the official NPI Registry.