Tiffani Hall, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT002611 Issued in GA

Practice address

1519 Cameron Landing Dr
Stockbridge, GA 30281-6861

Phone

(619) 379-3975

NPI assigned

Mar 17, 2015

Last updated

Mar 19, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426723200000",
    "number": "1649663568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 CAMERON LANDING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 CAMERON LANDING DR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816861",
            "telephone_number": "619-379-3975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIFFANI",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-17",
        "last_updated": "2015-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "GA",
            "license": "AT002611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyuana Hale
• Amanda Faye Hall, CSA
• April Hall
• Darryl Crosswright Hall, M.D.
• Luciana Hall, FNP-BC
• Ginger Flowers Hamilton, CRNA
• Janet S Hamilton, RCEP
• Laurie Harvey Hamilton, RN
• Serena Hamilton
• Tara T Hamilton

• Athletic Trainer in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Athletic Trainer in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; 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.