Individual provider Active NPI

Tiffany May, PA-C

  • Physician Assistant
  • Lewisville, TX
National Provider Identifier
1821454331
Registry record updated Jan 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
598694 Issued in TX
Practice address
940 W Round Grove Rd
Apt 1127
Lewisville, TX 75067-7935
Phone
(318) 497-3110
NPI assigned
Jan 13, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 598694 TX Primary

Addresses

Primary practice location

940 W Round Grove Rd
Apt 1127
Lewisville, TX 75067-7935

Mailing address

940 W Round Grove Rd
Apt 1127
Lewisville, TX 75067-7935
Phone (318) 497-3110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211129002384 TX Practitioner - Physician Assistant 5395135735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
May accept Medicare assignment
Group practices
Pediatric and Family Physicians PAGroup PAC ID 6204841752, 2 clinicians

Practice addresses (Care Compare)

4900 Long Prairie Rd
Flower Mound, TX 75028-2288
Phone (972) 691-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
598694TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: tiffany.may@pedfam.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1452643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452643200000",
    "number": "1821454331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 W ROUND GROVE RD",
            "address_2": "APT 1127",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750677935",
            "telephone_number": "318-497-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 W ROUND GROVE RD",
            "address_2": "APT 1127",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750677935",
            "telephone_number": "318-497-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAY",
        "first_name": "TIFFANY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-13",
        "last_updated": "2016-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "598694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.