Active NPI
Tiffany Stebbins, NP
- Nurse Practitioner
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5016107
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Novant Health Forsyth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5016107 | NC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forsyth Memorial Hospital Inc | Current | Accepting new patients | |
| 360 Anesthesia PLLC | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Forsyth Memorial Hospital, Inc. | Current | Accepting new patients | |
| Afc Urgent Care and Family Care of WNC, PLLC | Current | 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
- tiffany.stebbins.p1@direct.carolinaspecialty.nextgenshare.com
- 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.
-
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
-
- Family Medicine Physician
- Winston Salem, NC
- NPI 1104548874
-
- Anesthesiology Physician
- Lenoir, NC
- NPI 1619816758
-
- Neurology Physician
- Winston Salem, NC
- NPI 1972842086
-
- Cardiovascular Disease Physician
- Winston Salem, NC
- NPI 1932935475
-
- Legal Medicine
- Statesville, NC
- NPI 1275596439
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lenoir, NC
- NPI 1114974029
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.