Tiffanie Lauren Adams, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-03714 Issued in NC

Practice address

416 McCullough Dr Ste 205
Charlotte, NC 28262-4392

Phone

(704) 312-8474

Fax

(704) 912-1744

NPI assigned

Aug 29, 2012

Last updated

Dec 15, 2021By 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 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• New Bethel Community Restoration Center LLC

  • Integrative Medicine Physician
  • Charlotte, NC
  • NPI 1538090881
  NPD Authorized official
• Restorative Minds, PLLC

  • Physician Assistant
  • Charlotte, NC
  • NPI 1821753476
  NPD Authorized official
• Golson Family Services

  • Professional Counselor
  • Concord, NC
  • NPI 1730711722
  Medicare reassignment

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639526400000",
    "number": "1457600033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3022 PARSIFAL LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282134304",
            "telephone_number": "704-312-8474",
            "fax_number": "704-912-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 MCCULLOUGH DR STE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624392",
            "telephone_number": "704-312-8474",
            "fax_number": "704-912-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "TIFFANIE",
        "middle_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03714",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001003714",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Adams, RBT
• Remi M'Lynn Adams, OD
• Rocky Jay Adams, MD
• Shana Nicole Adams, PA
• Tamara Adams
• Virginia Sue Adams, LCSW
• Abosede Elizabeth Adamson, PA
• Peter O Adamson
• Tim Eugene Adamson, MD
• Adapt Wellness

• Physician Assistant in Charlotte, NC
• Providers in Charlotte, 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 Dec 15, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.