Individual provider Active NPI

Tiffany A. Nicoll, DO

  • Family Medicine Physician
  • Columbus, GA
National Provider Identifier
1568166346
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
112298 Issued in GA
Practice address
106 Enterprise CT Ste a
Columbus, GA 31904-9096
Phone
(706) 321-2555
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 112298 GA Primary

Addresses

Primary practice location

106 Enterprise CT Ste a
Columbus, GA 31904-9096

Mailing address

106 Enterprise CT Ste a
Columbus, GA 31904-9096
Phone (706) 321-2555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230712004804 GA Order and Referring Only - Family PracticePractitioner - Family Practice 1052771755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Diagnostics, L.L.C. Family Medicine CurrentSince Sep 1, 2026 Accepting new patients
Horizons Diagnostics, L.L.C. PastSince Sep 1, 2026 Accepting new patients

Locations

3934 Woodruff Rd
Columbus, GA 31904
Phone (706) 321-0476

106 Enterprise Ct
Ste A
Columbus, GA 31904
Phone (706) 321-2555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJDBA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1568166346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049096",
            "telephone_number": "706-321-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ENTERPRISE CT STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319049096",
            "telephone_number": "706-321-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLL",
        "first_name": "TIFFANY",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "112298",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.