Individual provider Active NPI

Tiffany Gaugh Simpson, DNP

  • Family Nurse Practitioner
  • Jackson, TN
National Provider Identifier
1578059648
Registry record updated Nov 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24549 Issued in TN
Practice address
2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Phone
(731) 984-8400
Fax
(731) 984-8305
NPI assigned
Jul 2, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24549 TN Primary

Addresses

Primary practice location

2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087

Mailing address

2075 Pleasant Plains Ext Rd
Jackson, TN 38305-6087
Phone (731) 984-8400

Other identifiers 1

IdentifierTypeStateIssuer
F06182526OtherAANP CERTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220617002100 TN Order and Referring Only - Nurse Practitioner 6305225509

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Tennessee, HSC, College of Medicine, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 12197
Jackson, TN 38308

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24549TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Quality Care PLLC CurrentSince Nov 17, 2019 Accepting new patients

Locations

2075 Pleasant Plains Ext Rd
Jackson, TN 38305
Phone (731) 984-8400

15463 S First St
Milan, TN 38358
Phone (731) 686-8688

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573776000000",
    "number": "1578059648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2075 PLEASANT PLAINS EXT RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056087",
            "telephone_number": "731-984-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 PLEASANT PLAINS EXT RD",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383056087",
            "telephone_number": "731-984-8400",
            "fax_number": "731-984-8305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "TIFFANY",
        "middle_name": "GAUGH",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2019-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANP CERTIFICATION NUMBER",
            "identifier": "F06182526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

Verify at the official NPI Registry.