Individual provider Active NPI

Tiffany Torres-Graham, FNP

  • General Practice Physician
  • Hinesville, GA
National Provider Identifier
1417841982
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
RN319428 Issued in GA
Practice address
462 Elma G Miles Pkwy
Hinesville, GA 31313-4000
Phone
(912) 369-9412
NPI assigned
Jun 7, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X RN319428 GA Primary

Addresses

Primary practice location

462 Elma G Miles Pkwy
Hinesville, GA 31313-4000

Mailing address

152 Huntington Dr NE
Ludowici, GA 31316-6786
Phone (505) 910-3424

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
I20250812000427 GA Practitioner - Nurse Practitioner 0648778472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment
Group practices
Hospital Authority of Liberty CountyGroup PAC ID 5799772190, 15 clinicians
Southland Optim Jenkins Emergency Medical Services, LLCGroup PAC ID 9537461538, 19 clinicians

Practice addresses (Care Compare)

462 E G Miles Pkwy
Hinesville, GA 31313-4000
Phone (912) 369-9400

462 Elma G Miles Pkwy
Suite 102a
Hinesville, GA 31313-4000
Phone (912) 369-9310

Hospital & facility affiliations

  • Liberty Regional Medical Center Hospital, Hinesville, GA, CCN 111335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN319428GAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Jul 1, 2025 Accepting new patients
Southland Optim Jenkins Emergency Medical Services, LLC CurrentSince Jul 1, 2025 Accepting new patients
Hospital Authority of Liberty County Current Accepting new patients
Hospital Authority of Liberty County CurrentSince Aug 1, 2025 Accepting new patients
Hospital Authority of Liberty County CurrentSince Aug 1, 2025 Accepting new patients

Locations

462 Elma G Miles Pkwy
Hinesville, GA 31313
Phone (888) 829-0068

462 Elma G Miles Pkwy
Ste 102A
Hinesville, GA 31313
Phone (912) 369-9310

931 E Winthrope Ave
Millen, GA 30442
Phone (478) 982-4221

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 1

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": "1749254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1417841982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 HUNTINGTON DR NE",
            "city": "LUDOWICI",
            "state": "GA",
            "postal_code": "313166786",
            "telephone_number": "505-910-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 ELMA G MILES PKWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134000",
            "telephone_number": "912-369-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES-GRAHAM",
        "first_name": "TIFFANY",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-07",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "RN319428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.