Individual provider Active NPI

Tiffani Michel, DPT

  • Physical Therapist
  • Avondale Estates, GA
National Provider Identifier
1396338729
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT015143 Issued in GA
Practice address
6 N Avondale Rd
Avondale Estates, GA 30002-1319
Phone
(470) 649-3626
Fax
(470) 839-6922
NPI assigned
Feb 17, 2021
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT015143 GA Primary

Addresses

Primary practice location

6 N Avondale Rd
Avondale Estates, GA 30002-1319

Mailing address

982 Memorial Dr SE Apt 107
Atlanta, GA 30316-4419

Other practice location 1

2800 N Druid Hills Rd NE
Atlanta, GA 30329-3987
Phone (470) 427-3840

Other names 1

  • Tiffani Harrison Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210223000627 GA Practitioner - Physical Therapist in Private Practice 6800201948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.73 of 100Reported as group
Quality
87.86
Improvement activities
40
Cost
61.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aczi, LLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

2800 N Druid Hills Rd NE
Atlanta, GA 30329
Phone (314) 330-4088

2800 N Druid Hills Rd NE
Ste A100
Atlanta, GA 30329
Phone (470) 427-3840

6 N Avondale Rd
Avondale Estates, GA 30002
Phone (470) 649-3626

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1396338729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "982 MEMORIAL DR SE APT 107",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 N AVONDALE RD",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300021319",
            "telephone_number": "470-649-3626",
            "fax_number": "470-839-6922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2800 N Druid Hills Rd NE",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303293987",
            "country_code": "US",
            "telephone_number": "470-427-3840",
            "fax_number": "470-200-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "TIFFANI",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANI",
            "last_name": "HARRISON",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Avondale Estates, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.