Tiffany Maxey, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2014-0001 Issued in NM

Practice address

114 W 11TH St
HMS Med Square
Silver City, NM 88061-5124

Phone

(575) 388-1511

Fax

(575) 542-2388

NPI assigned

Jan 22, 2014

Last updated

Feb 25, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NM

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

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hidalgo Medical ServicesGroup PAC ID 4587572250, shared by 12 NPIs, 33 clinicians

Gila Regional Medical CenterGroup PAC ID 9931006319, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gila Regional Medical Center Hospital, Silver City, NM, CCN 321311

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12922/brand/1/csg/1/fhir/r4
• Direct secure messaging: tiffany.maxey.1@12922.direct.athenahealth.com

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.

• Gila Regional Medical Center

  • Medical Oncology Physician
  • Silver City, NM
  • NPI 1619053709
  Medicare reassignment Care Compare group
• Hidalgo Medical Services

  dba HMS

  • Federally Qualified Health Center (FQHC)
  • Lordsburg, NM
  • NPI 1306843180
  Medicare reassignment
• Gila Regional Medical Center

  • Critical Access Hospital
  • Silver City, NM
  • NPI 1336220839
  NPD
• Hidalgo Medical Services

  dba HMS Cliff-Gila Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Gila, NM
  • NPI 1427041490
  NPD
• Hidalgo Medical Services

  dba Tu Casa

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1467971986
  NPD
• Hidalgo Medical Services

  dba HMS Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1063759330
  NPD (past)
• Hidalgo Medical Services

  dba HMS Silver High School Wellness Center

  • Federally Qualified Health Center (FQHC)
  • Silver City, NM
  • NPI 1255324562
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gila Regional Medical Center

  • Critical Access Hospital
  • Silver City, NM
  • NPI 1336220839
  Care Compare affiliation

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456358400000",
    "number": "1780007104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 DE MOSS ST",
            "address_2": "HIDALGO MEDICAL SERVICES",
            "city": "LORDSBURG",
            "state": "NM",
            "postal_code": "880452618",
            "telephone_number": "575-542-2368",
            "fax_number": "575-542-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 W 11TH ST",
            "address_2": "HMS MED SQUARE",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880615124",
            "telephone_number": "575-388-1511",
            "fax_number": "575-542-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2016-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2014-0001",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2014-0001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "96120321",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "332530YKWY",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Manuel A. Martinez III, LMSW
• Marcial Martinez, PHARMD
• Venessa Martinez
• Erin Masse, LMHC
• Jolynne Massengill, CCSS
• Harold S. May, B.S.
• Jesse Lee May
• Terry Maynes, LMHC
• Taylor Dale McCauley, LMHC
• Shauna Michelle McCosh, CFNP, CNM

• Medical Physician Assistant in Silver City, NM
• Providers in Silver City, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.