Individual provider Active NPI

Tiffany Sierra Bates, DO

  • Obstetrics & Gynecology Physician
  • Charlotte, NC
National Provider Identifier
1437597176
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2017-02134 Issued in NC
Practice address
7006 Shannon Willow Rd Ste a
Charlotte, NC 28226-1318
Phone
(980) 960-0526
Fax
(980) 920-1386
NPI assigned
Jun 4, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2017-02134 NC Primary

Addresses

Primary practice location

7006 Shannon Willow Rd Ste a
Charlotte, NC 28226-1318

Mailing address

7006 Shannon Willow Rd Ste a
Charlotte, NC 28226-1318
Phone (980) 960-0526

Other names 1

  • Tiffany Sierra Billue Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tbates513083@direct.novanthealth.org

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180201000973 NC Practitioner - Obstetrics/Gynecology 9436448719 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forsyth Medical Group, LLCGroup PAC ID 3678478054, 47 clinicians

Practice addresses (Care Compare)

7006 Shannon Willow Rd
Suite a
Charlotte, NC 28226-1318
Phone (980) 960-0526

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
N/ANCMDResearch Study Specialist
2017-02134NCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 11, 2025 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 13, 2020 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 13, 2020 Accepting new patients
Novant Health Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 13, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Forsyth Medical Group LLC CurrentSince Mar 11, 2025 Accepting new patients
Forsyth Memorial Hospital Inc Past Accepting new patients

Locations (25 of 31)

7006 Shannon Willow Rd
Ste A
Charlotte, NC 28226
Phone (980) 960-0526

14215 Ballantyne Corporate Pl
Ste 110
Charlotte, NC 28277
Phone (704) 384-1620

325 Hawthorne Ln
Ste 200
Charlotte, NC 28204
Phone (704) 334-0802

5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021

8820 Rachel Freeman Way
Charlotte, NC 28278
Phone (704) 316-3608

10905 Providence Rd W
Ste 260
Charlotte, NC 28277
Phone (704) 542-0744

1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000

8201 Healthcare Loop
Ste 302
Charlotte, NC 28215
Phone (704) 316-2319

1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535

1918 Randolph Rd
Ste 300
Charlotte, NC 28207
Phone (704) 333-0741

1901 E 5th St
Charlotte, NC 28204
Phone (980) 367-4363

12611 N Community House Rd
Ste 200
Charlotte, NC 28277
Phone (704) 731-1014

6324 Fairview Rd
Ste 430
Charlotte, NC 28210
Phone (704) 316-3148

2711 Randolph Rd
Ste 512
Charlotte, NC 28207
Phone (704) 333-4101

15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

17810 Statesville Rd
Ste 321
Cornelius, NC 28031
Phone (704) 895-5394

6555 Kee Ln
Ste 200
Harrisburg, NC 28075
Phone (704) 316-2319

27 Doctors Dr
Hendersonvlle, NC 28792
Phone (828) 687-3800

14330 Oakhill Park Ln
Ste 200
Huntersville, NC 28078
Phone (704) 316-1265

9930 Kincey Ave
Ste 360
Huntersville, NC 28078

14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078

1450 Matthews Township Pkwy
Ste 200
Matthews, NC 28105
Phone (704) 246-1846

Interoperability endpoints

  • Direct secure messaging: tiffany.bates.1@27575.direct.athenahealth.com
  • Direct secure messaging: tbates513083@direct.novanthealth.org

Organizations & group practices 8

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": "1370304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742947200000",
    "number": "1437597176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7006 SHANNON WILLOW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261318",
            "telephone_number": "980-960-0526",
            "fax_number": "980-920-1386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7006 SHANNON WILLOW RD STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282261318",
            "telephone_number": "980-960-0526",
            "fax_number": "980-920-1386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "TIFFANY",
        "middle_name": "SIERRA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-04",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2017-02134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tbates513083@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1918 Randolph Rd Ste 300",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "BILLUE",
            "middle_name": "SIERRA",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.