Individual provider Active NPI

Tiffany Smith Marshall, FNP-BC

  • Nurse Practitioner
  • Calhoun, GA
National Provider Identifier
1730570870
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN187385 Issued in GA
Practice address
855 Curtis Pkwy SE
Calhoun, GA 30701-3688
Phone
(706) 624-5100
Fax
(706) 879-6601
NPI assigned
Feb 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN187385 GA Primary

Addresses

Primary practice location

855 Curtis Pkwy SE
Calhoun, GA 30701-3688

Mailing address

221 Technology Pkwy NW
Rome, GA 30165-1369
Phone (706) 295-5331

Other names 1

  • Tiffany Marie Smith Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.marshall.1@1498.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20160526001685 GA Practitioner - Nurse Practitioner 8426348889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbin Clinic LLCGroup PAC ID 0446154231, 238 clinicians

Practice addresses (Care Compare)

101 Redmond Rd
Rome, GA 30165-1535
Phone (762) 235-1760

1825 Martha Berry Blvd NW
Rome, GA 30165-1625
Phone (762) 235-2495

855 Curtis Pkwy SE
Calhoun, GA 30701-3688
Phone (706) 624-5180

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
65.74
Promoting interoperability
100
Improvement activities
40
Cost
78.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clinic, LLC CurrentSince Apr 18, 2016 Accepting new patients
Harbin Clinic, LLC CurrentSince Apr 18, 2016 Accepting new patients
Harbin Clinic, LLC Current Accepting new patients

Locations

855 Curtis Pkwy SE
Calhoun, GA 30701
Phone (706) 624-5100

101 Redmond Rd NW
Rome, GA 30165
Phone (706) 290-1330

221 Technology Pkwy NW
Rome, GA 30165
Phone (762) 235-1000

1825 Martha Berry Blvd NW
Rome, GA 30165
Phone (706) 238-8073

Interoperability endpoints

  • Direct secure messaging: tsmithmarshall3004888@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: tiffany.marshall.1@1498.direct.athenahealth.com

Organizations & group practices 3

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 2

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": "1423612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1730570870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 TECHNOLOGY PKWY NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651369",
            "telephone_number": "706-295-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 CURTIS PKWY SE",
            "city": "CALHOUN",
            "state": "GA",
            "postal_code": "307013688",
            "telephone_number": "706-624-5100",
            "fax_number": "706-879-6601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "TIFFANY",
        "middle_name": "SMITH",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-11",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN187385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.marshall.1@1498.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "855 Curtis Pkwy SE",
            "city": "Calhoun",
            "state": "GA",
            "country_code": "US",
            "postal_code": "307013688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Calhoun, GA

Sources for this page

Verify at the official NPI Registry.