Individual provider Active NPI

Tiffany D Taylor, M.ED.

  • Audiologist-Hearing Aid Fitter
  • Savannah, GA
National Provider Identifier
1730476284
Registry record updated Jan 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Audiologist-Hearing Aid FitterTaxonomy code 237600000X
License
AUD003559 Issued in GA
Practice address
527 Stephenson Ave
Suite A3
Savannah, GA 31405-5923
Phone
(912) 352-8530
Fax
(912) 352-1423
NPI assigned
Jul 6, 2011
Last updated
Jan 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X AUD003559 GA Primary

Addresses

Primary practice location

527 Stephenson Ave
Suite A3
Savannah, GA 31405-5923

Mailing address

527 Stephenson Ave
Suite A3
Savannah, GA 31405-5923
Phone (912) 352-8530

Other names 1

  • Tiffany D Cobb Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110909002545 GA Practitioner - Qualified Audiologist 3476723040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stinson Mobile Aud Ga LLCGroup PAC ID 6608110390, 8 clinicians

Practice addresses (Care Compare)

40 Technology Pkwy S
Suite 300
Norcross, GA 30092-2924
Phone (248) 528-2116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

Practice roles

OrganizationSpecialtyStatusNew patients
Stinson Mobile Aud Ga LLC CurrentSince Aug 21, 2019 Accepting new patients
Southeastern Audiology, Inc. Audiologist-Hearing Aid Fitter PastSince Apr 7, 2008 Accepting new patients
Optimal Hearing Systems, LLC PastSince Sep 25, 2019 Accepting new patients
Optimal Hearing Systems Audiologist-Hearing Aid Fitter Past Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

4350 Brownsboro Rd
Ste 200
Louisville, KY 40207
Phone (513) 771-7483

Interoperability endpoints

  • Direct secure messaging: tiffany.taylor.p3@direct.360care.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548201600000",
    "number": "1730476284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 STEPHENSON AVE",
            "address_2": "SUITE A3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055923",
            "telephone_number": "912-352-8530",
            "fax_number": "912-352-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "527 STEPHENSON AVE",
            "address_2": "SUITE A3",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055923",
            "telephone_number": "912-352-8530",
            "fax_number": "912-352-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TIFFANY",
        "middle_name": "D",
        "credential": "M.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-06",
        "last_updated": "2019-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "GA",
            "license": "AUD003559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "COBB",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.