Individual provider Active NPI

Tiffany Brush, NP-C

  • Family Nurse Practitioner
  • Gainesville, GA
National Provider Identifier
1407333115
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN-NP220871 Issued in GA
Practice address
961 Smokey Mountain Springs LN NE
Gainesville, GA 30501-2418
Phone
(678) 210-2172
NPI assigned
Jul 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN-NP220871 GA Primary

Addresses

Primary practice location

961 Smokey Mountain Springs LN NE
Gainesville, GA 30501-2418

Mailing address

961 Smokey Mountain Springs LN NE
Gainesville, GA 30501-2418

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
I20190821004632 GA Practitioner - Nurse Practitioner 6103154612 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Urology, PAGroup PAC ID 8921094376, 99 clinicians

Practice addresses (Care Compare)

1223 Friendship Rd
Braselton, GA 30517-5608
Phone (678) 205-8387

900 Towne Lake Pkwy
Suite 200
Woodstock, GA 30189-1603
Phone (678) 494-9201

961 Smokey Mountain Springs LN NE
Gainesville, GA 30501-2418
Phone (678) 205-8387

Hospital & facility affiliations

  • Northeast Georgia Medical Center, Inc Hospital, Gainesville, GA, CCN 110029
  • NGMC Barrow, LLC Hospital, Winder, GA, CCN 110045

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN-NP220871GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Urology PA CurrentSince Nov 17, 2025 Accepting new patients
Georgia Urology, PA CurrentSince Nov 17, 2025 Accepting new patients
Rrsoc LLC PastSince Dec 6, 2022 Accepting new patients
Serena D. Tidwell, M.D., P.C. PastSince Aug 10, 2020 Accepting new patients

Locations

961 Smokey Mountain Springs Ln NE
Gainesville, GA 30501
Phone (678) 205-8387

1930 Brannan Rd
McDonough, GA 30253
Phone (678) 284-4040

5730 Glenridge Dr
Ste 200
Sandy Springs, GA 30328
Phone (404) 252-5206

900 Towne Lake Pkwy
Ste 200
Woodstock, GA 30189
Phone (678) 494-9201

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1407333115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 SMOKEY MOUNTAIN SPRINGS LN NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "961 SMOKEY MOUNTAIN SPRINGS LN NE",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012418",
            "telephone_number": "678-210-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUSH",
        "first_name": "TIFFANY",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP220871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

Verify at the official NPI Registry.