Tiffanie Brown, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN123390 Issued in GA

Practice address

1355 Resurgence Dr
Watkinsville, GA 30677-7306

Phone

(706) 355-3109

NPI assigned

May 23, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Adfc-Watkinsville PC

  dba Athens Dentistry for Children

  • General Practice Dentistry
  • Watkinsville, GA
  • NPI 1366128936
  NPD

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1487392163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 RESURGENCE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 RESURGENCE DR",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777306",
            "telephone_number": "706-355-3109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W St NW # 2005",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200591022",
            "country_code": "US",
            "telephone_number": "202-806-6100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "TIFFANIE",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-23",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "DC",
            "license": "DEN2000339",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN123390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffanie.brown@bison.howard.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "600 W St NW # 2005",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200591022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• James David Brown, DMD
• Joboa Brown, RBT
• Mary H Brown, NP
• Mary Madison Brown, M.S., BCBA
• Ruth Quicke Brown, MSN, FNP-BC
• Traci Lee Brown
• Alice Browning, RBT
• Ivey Broxton, NP
• Bruce L Hammonds OD PC
• Bruckner Counseling

• Pediatric Dentistry in Watkinsville, GA
• Providers in Watkinsville, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.