Tiffany Hall, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36781 Issued in TN

Practice address

3725 Champion Hills Dr Ste 2000
Memphis, TN 38125-0502

Phone

(901) 367-9001

Fax

(901) 565-8787

NPI assigned

Jul 12, 2006

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

Other identifiers 4

Other names 1

• Tiffany Edwards Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Memphis Urgent Care #2, LLC.

  • Urgent Care Clinic/Center
  • Memphis, TN
  • NPI 1912565326
  NPD (past)
• Methodist Healthcare - Memphis Hospitals

  • Internal Medicine Physician
  • Memphis, TN
  • NPI 1528146867
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413244800000",
    "number": "1598780546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "DEPT 362",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381480362",
            "telephone_number": "901-367-9001",
            "fax_number": "901-255-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 CHAMPION HILLS DR STE 2000",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381250502",
            "telephone_number": "901-367-9001",
            "fax_number": "901-565-8787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIFFANY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2014-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "36781",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "36781",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99182",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107001001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04735812",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4108593",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "EDWARDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Catherine Hall, FNP-BC
• Meagan Duke Hall
• Mina Carol Hall, RPH
• Precious Hall, RBT
• Teresa S Hall, M.S.,C.A.M.F.
• Tynearia Hall
• Patricia Halley
• Brittney Marqee Halliburton, D. D. S.
• Grace Moore Halliday, PLPC
• Haloscrips Inc

• Internal Medicine Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.