Tiffanie Lashaun Garrison-Jeter, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

9488 Issued in TN

Practice address

6998 Old Cusseta Rd
Fort Benning, GA 31905-5431

Phone

(706) 544-3176

Fax

(706) 544-1933

NPI assigned

Aug 21, 2012

Last updated

May 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1578811667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6998 OLD CUSSETA RD",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055431",
            "telephone_number": "706-544-3176",
            "fax_number": "706-544-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6998 OLD CUSSETA RD",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055431",
            "telephone_number": "706-544-3176",
            "fax_number": "706-544-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON-JETER",
        "first_name": "TIFFANIE",
        "middle_name": "LASHAUN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-21",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "9488",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "9488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Jacob Gallucci, MD
• Victor L Garcia
• Michael Garitz, PHARMD
• Christopher Nathan Garner
• Whitney Garner, PHARMD
• Suwaro Gassama, CRNA
• Nicole Susan Gaylor, PTA
• John Smith Geise, PA
• Ryan Matthew George, M.D.
• Timothy David Gleissner

• Dentist in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.