Organization Active NPI

Tiffany Adult Wellness and Weight Loss LLC

  • Clinic/Center
  • Aiken, SC
National Provider Identifier
1407613763
Registry record updated Nov 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
TIFFANY ADULT WELLNESS AND WEIGHT LOSS LLC
Practice address
235 Barnwell Ave NW Ste 2
Aiken, SC 29801-3903
Phone
(839) 777-8052
Fax
(833) 463-1977
NPI assigned
Mar 4, 2024
Last updated
Nov 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2026

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

Authorized official

Name
Tiffany Griffin, NPNPI 1417648916
Title
Manager
Phone
(800) 491-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

235 Barnwell Ave NW Ste 2
Aiken, SC 29801-3903

Mailing address

PO Box 6005
North Augusta, SC 29861-6005
Phone (839) 777-8052

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250708002219 SC Part B Supplier - Clinic/Group Practice 9234643776 Receives reassigned benefits from 1 practitioner
Practice locations: Aiken, SC

National Provider Directory

National Provider Directory

Locations

235 Barnwell Ave NW
Ste 2
Aiken, SC 29801
Phone (839) 777-8052

900 Trail Ridge Rd
Ste 124
Aiken, SC 29803
Phone (646) 272-8417

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793750400000",
    "number": "1407613763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6005",
            "city": "NORTH AUGUSTA",
            "state": "SC",
            "postal_code": "298616005",
            "telephone_number": "839-777-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 BARNWELL AVE NW STE 2",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298013903",
            "telephone_number": "839-777-8052",
            "fax_number": "833-463-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY ADULT WELLNESS AND WEIGHT LOSS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-11-04",
        "certification_date": "2026-11-04",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "800-491-0909",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.