Individual provider Active NPI

Tiffany Mae Whiteside, CRNP

  • Family Nurse Practitioner
  • Rogersville, AL
National Provider Identifier
1639847650
Registry record updated Aug 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1151911 Issued in AL
Practice address
16053 Highway 72
Rogersville, AL 35652-8141
Phone
(256) 262-6060
Fax
(256) 247-7018
NPI assigned
Sep 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2026

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 1151911 AL Primary

Addresses

Primary practice location

16053 Highway 72
Rogersville, AL 35652-8141

Mailing address

16053 Highway 72
Rogersville, AL 35652-8141
Phone (256) 262-6060

Other identifiers 1

IdentifierTypeStateIssuer
286698MedicaidAL

Other names 1

  • Tiffany Mae Romine Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20220420000006 AL Practitioner - Nurse Practitioner 4385031483 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tanner Community CareGroup PAC ID 0749684728, 2 clinicians
Capshaw Family CareGroup PAC ID 2163661703, 7 clinicians
Rogersville Family CareGroup PAC ID 9234364191, 3 clinicians

Practice addresses (Care Compare)

11185 Hwy 31
Tanner, AL 35671-3576
Phone (256) 216-9658

15024 E Limestone Rd
Suite F
Harvest, AL 35749-7264
Phone (256) 216-1966

16053 Hwy 72
Rogersville, AL 35652-8141
Phone (256) 247-0093

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Moulton, AL, CCN 017071
  • Athens Limestone Hospital Hospital, Athens, AL, CCN 010079
  • North Alabama Medical Center Hospital, Florence, AL, CCN 010006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1151911ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Medical Clinic, LLC Family CurrentSince Mar 11, 2024 Accepting new patients
Tanner Community Care CurrentSince Sep 1, 2024 Accepting new patients
Rogersville Family Care CurrentSince Jan 1, 2026 Accepting new patients
Capshaw Family Care CurrentSince Jul 1, 2025 Accepting new patients
Avalon Medical Group CurrentSince Mar 17, 2024 Accepting new patients
Charles Anthony Gaputis PastSince Jan 1, 2026 Accepting new patients
Lister Healthcare Corporation PastSince Apr 1, 2022 Accepting new patients

Locations

710 W Hobbs St
Athens, AL 35611
Phone (256) 262-6380

15024 E Limestone Rd
Ste F
Harvest, AL 35749
Phone (256) 216-1966

2410 Avalon Ave
Muscle Shoals, AL 35661
Phone (256) 386-0808

16053 Highway 72
Rogersville, AL 35652
Phone (256) 247-0093

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 3

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787184000000",
    "number": "1639847650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16053 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528141",
            "telephone_number": "256-262-6060",
            "fax_number": "256-247-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16053 HIGHWAY 72",
            "city": "ROGERSVILLE",
            "state": "AL",
            "postal_code": "356528141",
            "telephone_number": "256-262-6060",
            "fax_number": "256-247-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "TIFFANY",
        "middle_name": "MAE",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-03",
        "last_updated": "2026-08-20",
        "certification_date": "2026-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1151911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286698",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ROMINE",
            "middle_name": "MAE",
            "credential": "CRNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogersville, AL

Sources for this page

Verify at the official NPI Registry.