Tiffany Lynn Peterson, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3056 Issued in NC

Practice address

116 N Circle Dr
Rocky Mount, NC 27804-2401

Phone

(252) 451-0039

Fax

(866) 801-5246

NPI assigned

Nov 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rocky Mount Chiropractic, PLLC

  • Chiropractor
  • Rocky Mount, NC
  • NPI 1093253171
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811066988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 N CIRCLE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042401",
            "telephone_number": "252-451-0039",
            "fax_number": "866-801-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N CIRCLE DR",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042401",
            "telephone_number": "252-451-0039",
            "fax_number": "866-801-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "085GW",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89085GW",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jocelyn Perez, MS, LCMHCA
• Mark Nicholas Perlmutter, MS,MD
• Rachel L Perry, P.A.-C
• Tamara Perry
• Maisha Pesante, MD
• Christina R Peyton, M.D.
• Pharmblue North Carolina LLC
• Charles T Phillips, PA
• Jefferson Dulin Phillips, MD
• Lizza M Phillips

• Chiropractor in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.