Tiffany Antoinette Wise, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5015934 Issued in NC

Practice address

1352 W Harrison St
Reidsville, NC 27320-2606

Phone

(336) 342-3338

NPI assigned

Mar 16, 2022

Last updated

Mar 17, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hypertension and Kidney Specialist, PCGroup PAC ID 4082065214, 2 clinicians

Authoracare CollectiveGroup PAC ID 3678558962, 11 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Hypertension & Kidney Specialist, PC

  • Nephrology Physician
  • Raleigh, NC
  • NPI 1659152700

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Authoracare Collective

  • Community Based Hospice Care Agency
  • Greensboro, NC
  • NPI 1093774614
  Medicare reassignment Care Compare group
• Ih Physician Services PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Southern Pines, NC
  • NPI 1447959093

  Single Specialty

  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  NC, Single Specialty

  Medicare reassignment NPD
• Elohim Housecall Doctors

  • Adult Medicine Physician
  • Greensboro, NC
  • NPI 1730636028
  Medicare reassignment
• Ih Physician Services, PC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Knoxville, TN
  • NPI 1770469389

  Single Specialty

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Moses H. Cone Memorial Hospital Operating Corporation

  • General Acute Care Hospital
  • Greensboro, NC
  • NPI 1477591055
  Care Compare affiliation

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1407504582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1352 W HARRISON ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273202606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1352 W HARRISON ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273202606",
            "telephone_number": "336-342-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISE",
        "first_name": "TIFFANY",
        "middle_name": "ANTOINETTE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-16",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5015934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5015934",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William S Bradford MD PA (William S Bradford MD)
• Anika Keyshawn Williams-Johnson, ST.
• Marjenia Latonya Williams, PMHNP-BC
• Ronald Lee Wilson Jr.
• Windham Hall, Inc
• Anne Witcher
• Ty Louis Wooden, D.D.S.
• Linda A Woodson
• Robert Warren Woodward, MD
• Tanya Renae Wright, CADC

• Family Nurse Practitioner in Reidsville, NC
• Providers in Reidsville, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.