Individual provider Active NPI

Tiffany B Langham

  • Audiologist
  • Madison, MS
National Provider Identifier
1548784390
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
A4345 Issued in MS
Practice address
401 Baptist Dr Ste 204
Madison, MS 39110-2011
Phone
(601) 973-1583
Fax
(601) 973-1609
NPI assigned
Aug 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X A4345 MS Primary

Addresses

Primary practice location

401 Baptist Dr Ste 204
Madison, MS 39110-2011

Mailing address

401 Baptist Dr Ste 204
Madison, MS 39110-2011
Phone (601) 973-1583

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
A4345MSMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Surgical Associates PLLC PastSince Jul 24, 2022 Accepting new patients

Interoperability endpoints

  • FHIR API: https://rxedi.bmhcc.org/prd-fhir/CSA/api/FHIR/R4

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548784390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR STE 204",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102011",
            "telephone_number": "601-973-1583",
            "fax_number": "601-973-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAPTIST DR STE 204",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102011",
            "telephone_number": "601-973-1583",
            "fax_number": "601-973-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGHAM",
        "first_name": "TIFFANY",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MS",
            "license": "A4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.