Tiffany Gann, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

519 S Van Buren Rd
Suite C
Eden, NC 27288-5070

Phone

(336) 627-3194

NPI assigned

Feb 4, 2014

Last updated

Feb 5, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Winston Salem Dermatology and SurgeryGroup PAC ID 6507870391, 6 clinicians

Skin Surgery Center PAGroup PAC ID 3173599479, 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Skin Surgery Center PA

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1649237082
  Medicare reassignment Care Compare group
• Winston Salem Dermatology & Surgery

  • Dermatology Physician
  • Winston Salem, NC
  • NPI 1073549150
  Medicare reassignment Care Compare group
• Beavers Dermatology & Skin Surgery, PLLC

  • Dermatology Physician
  • Eden, NC
  • NPI 1477842573
  Medicare reassignment

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391558400000",
    "number": "1447673975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 PERCY LN",
            "city": "MAYODAN",
            "state": "NC",
            "postal_code": "270278263",
            "telephone_number": "336-344-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S VAN BUREN RD",
            "address_2": "SUITE C",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885070",
            "telephone_number": "336-627-3194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GANN",
        "first_name": "TIFFANY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail's Garden of Gold Corporation
• Rachel Gallardo, RDN, LDN
• Dionne P. Galloway, MD
• Christy Lianne Gambill, PA-C
• Cheryl K Gammel, D.C.
• Robert Edward Garren, PHARM.D.
• Genesis Medical, Inc.
• Tonya Gibbs
• Gina Martin, M.D., P.L.L.C.
• Greensboro Pathology, LLC

• Physician Assistant in Eden, NC
• Providers in Eden, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2014; 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.