Active NPI
Tiffany McCormick
- Emergency Medical Services (Emergency Medicine) Physician
- Red Springs, NC
National Provider Identifier
1497595581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 27033370
- Practice address
- 838 W 3Rd Ave
Red Springs, NC 28377-1527 - Phone
- (910) 474-7909
- NPI assigned
- May 28, 2024
- Last updated
- May 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Driver | 172A00000X | 27033370 | NC | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 27033370 | NC | Primary |
Addresses
Primary practice location
838 W 3Rd Ave
Red Springs, NC 28377-1527
Mailing address
838 W 3Rd Ave
Red Springs, NC 28377-1527
Phone (910) 474-7909
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27033370 | NC | MD | Emergency Medical Services (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716854400000",
"number": "1497595581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "838 W 3RD AVE",
"city": "RED SPRINGS",
"state": "NC",
"postal_code": "283771527",
"telephone_number": "910-474-7909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "838 W 3RD AVE",
"city": "RED SPRINGS",
"state": "NC",
"postal_code": "283771527",
"telephone_number": "910-474-7909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCORMICK",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-28",
"last_updated": "2024-05-28",
"certification_date": "2024-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NC",
"license": "27033370",
"primary": false
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "NC",
"license": "27033370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Springs, NC
- Jada Brooke Lowry, PHYSICIAN ASSISTANT
- Georgianna Mack, MSW, LCSW
- Majestic Home Care (Rodney Taylor)
- Majestic Home Care (Rodney Taylor)
- Lindsey Amanda McCormick
- Cleophas Louis McMillan, M.ED.
- Alexie Celene McNeill, RN
- Melvin and Johnson Community Living
- Rachel Munn, P.A.
- Native Angels Total Property Management, LLC (Total Property Management,LLC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.