Active NPI
Tiffany B Langham
- Audiologist
- Madison, MS
National Provider Identifier
1548784390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- A4345
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A4345 | MS | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Surgical Associates PLLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Surgery Physician
- Jackson, MS
- NPI 1639295009
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.