Active NPI
Tiffany Ann Bryant, PA
- Physician Assistant
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2931
- Practice address
- 1777 Ashley Cir
Bowling Green, KY 42104-3339 - Phone
- (270) 781-4090
- Fax
- (270) 842-3133
- NPI assigned
- Nov 20, 2006
- Last updated
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2931 | KY | Primary |
| Physician Assistant | 363A00000X | 1385 | TN |
Addresses
Primary practice location
1777 Ashley Cir
Bowling Green, KY 42104-3339
Mailing address
201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1777 Ashley Cir
Bowling Green, KY 42104-3339
Phone (270) 781-4090
201 Park St
Bowling Green, KY 42101-1742
Phone (270) 781-5111
2724 Nashville Rd
Bowling Green, KY 42101-4000
Phone 2707815111270
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2931 | KY | MD | Physician Assistant |
| 1385 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Graves Gilbert Clinic PLLC | Current | Accepting new patients | |
| Graves Gilbert Clinic PLLC | Physician Assistant | Current | Accepting new patients |
Locations
1325 Andrea St
Ste 100
Bowling Green, KY 42104
Phone (270) 901-3454
1777 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4090
201 Park St
Bowling Green, KY 42101
Phone (270) 651-2229
Interoperability endpoints
- tiffanybryant@ggc.allscriptsdirect.net
Organizations & group practices 2
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.
-
dba Graves Gilbert Clinic
- Specialist
- Bowling Green, KY
- NPI 1114948288
Physician Assistant
-
dba GGC Rural Health Clinic Cave City
- Rural Health Clinic/Center
- Cave City, KY
- NPI 1104635663
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba The Medical Center
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1043293608
-
dba Tristar Greenview Regional Hospital
- General Acute Care Hospital
- Bowling Green, KY
- NPI 1871547703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1467526723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 PARK ST",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011742",
"telephone_number": "270-781-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 ASHLEY CIR",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421043339",
"telephone_number": "270-781-4090",
"fax_number": "270-842-3133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRYANT",
"first_name": "TIFFANY",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "KY",
"license": "PA2931",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "1385",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.