Tiffany Harrell Garland, NP-C
Individual provider Active NPI Nurse Practitioner · Shellman, GA
NPI 1659967495 · NPPES record last updated Aug 2, 2021
Key facts
- NPI
- 1659967495
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- F11200453 (GA)
- Practice address
- 67 W Railroad St
Shellman, GA 39886-3100 - Phone
- (229) 679-2100
- NPI assigned
- Dec 16, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211109002589 | GA | Practitioner - Nurse Practitioner | 3375932577 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F11200453 | GA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shellman Medical LLC | Current |
Accepting new patients |
Locations
67 W Railroad St
Shellman, GA 39886
Phone (229) 679-2100
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | F11200453 | GA | Yes |
Addresses
Primary practice location
67 W Railroad St
Shellman, GA 39886-3100
Mailing address
398 Orndorff Dr SW
Dawson, GA 39842-1917
Other practice location 1
2734 Ledo Rd Ste 15
Albany, GA 31707-7628
Phone (229) 883-8080
Other providers in Shellman, GA
- Betsy Diaz
- Jessica Rose Faust
- Hospital Authority of Randolph County
- KJH Medical Services
- Georgie Edwards Langford
- Daphne Dixon Puckett
- Shellman Drug Company
All providers in Shellman, GA · Nurse Practitioner in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.