Individual provider Active NPI

Tiffany Stebbins, NP

  • Nurse Practitioner
  • Winston Salem, NC
National Provider Identifier
1609512284
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5016107 Issued in NC
Practice address
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone
(336) 718-7224
Fax
(336) 718-7598
NPI assigned
May 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Nurse Practitioner 363LC0200X 5016107 NC
Nurse Practitioner 363L00000X 5016107 NC Primary

Addresses

Primary practice location

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-7224

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220629003379 NC Practitioner - Nurse Practitioner 8022498500 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catalyst Pain Institute PLLCGroup PAC ID 3375011851, 3 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Afc Urgent Care and Family Care of WNC PLLCGroup PAC ID 2567713332, 75 clinicians

Practice addresses (Care Compare)

1031 Morganton Blvd SW
Lenoir, NC 28645-5677
Phone (828) 757-6200

175 Kimel Park Dr
Winston Salem, NC 27103-6951
Phone (336) 718-1006

955 2ND St NE
Hickory, NC 28601-3840
Phone (423) 476-5990

Hospital & facility affiliations

  • Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5016107NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital Inc CurrentSince Jun 18, 2022 Accepting new patients
360 Anesthesia PLLC CurrentSince Nov 1, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 18, 2022 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Afc Urgent Care and Family Care of WNC, PLLC CurrentSince Oct 15, 2024 Accepting new patients
Carolina Specialty Care, PA Past Accepting new patients

Locations

10102 Johnston Rd
Charlotte, NC 28210
Phone (704) 247-6578

1918 Randolph Rd
Ste 400
Charlotte, NC 28207
Phone (704) 384-9437

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

117 E Kings Hwy
Eden, NC 27288
Phone (336) 627-6181

955 2nd St NE
Hickory, NC 28601
Phone (828) 327-9679

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

1025 Peerless Xing NW
Cleveland, TN 37312
Phone (423) 476-5990

Interoperability endpoints

  • Direct secure messaging: tiffany.stebbins.p1@direct.carolinaspecialty.nextgenshare.com
  • Direct secure messaging: tstebbins909058@direct.novanthealth.org

Organizations & group practices 7

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 2

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": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1609512284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-7224",
            "fax_number": "336-718-7598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 SILAS CREEK PKWY",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033013",
            "telephone_number": "336-718-7224",
            "fax_number": "336-718-7598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEBBINS",
        "first_name": "TIFFANY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "NC",
            "license": "5016107",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5016107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.