Tiffany Montgomery

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

12113 Jessica Cir
Gulfport, MS 39503-4198

Phone

(228) 261-6358

NPI assigned

Mar 5, 2025

Last updated

Mar 5, 2025By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Audesi Home Care LLC

  dba Audesi Home Care

  • In Home Supportive Care Agency
  • Wiggins, MS
  • NPI 1700470317
  NPD Authorized official

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

{
    "created_epoch": "1741132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1801694732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12113 JESSICA CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034198",
            "telephone_number": "228-261-6358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12113 JESSICA CIR",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034198",
            "telephone_number": "228-261-6358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-05",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1700470317",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Safia Mohiuddin, MD
• Michael Mollett, PHARMD
• Brenda Joyce Monroe, LPC
• Debra Montgomery, RN
• Jane W Montgomery, APMHNP
• Erin W Moody, PT
• Angela Ryland Mooers
• Melissa Moon Muirhead, M.D.
• Alexandra Danielle Moore
• Angela C Moore, PCMHT

• Home Health Aide in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Home Health Aide in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; 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.