Individual provider Active NPI

Tiffani Yvonne Thomas, MD

  • Family Medicine Physician
  • Aiken, SC
National Provider Identifier
1861849580
Registry record updated Sep 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
85674 Issued in SC
Practice address
121 Aurora PL Ste B
Aiken, SC 29801-5312
Phone
(803) 306-7733
Fax
(803) 716-9456
NPI assigned
May 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD36325 AL
Family Medicine Physician 207Q00000X 85674 SC Primary

Addresses

Primary practice location

121 Aurora PL Ste B
Aiken, SC 29801-5312

Mailing address

367 S Gulph Rd
Attn Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (803) 306-7733

Other identifiers 1

IdentifierTypeStateIssuer
856746MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190506001381 AL Practitioner - Family Practice 5799062097 Reassigns benefits to 1 organization
I20210528000964 SC Practitioner - Family Practice 5799062097 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD36325ALMDFamily Medicine Physician
85674SCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health Medical Associates, PLLC CurrentSince Jun 15, 2025 Accepting new patients
Capstone Health Services Foundation PC Family Medicine CurrentSince May 1, 2019 Accepting new patients
Capstone Health Services Foundation PC CurrentSince May 1, 2019 Accepting new patients

Locations

6205 Jemison Ln
Northport, AL 35476
Phone (205) 348-6122

850 Peter Bryce Blvd
Tuscaloosa, AL 35401

2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: tiffani.thomas.1@18348.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631836800000",
    "number": "1861849580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATTN IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "803-306-7733",
            "fax_number": "803-716-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 AURORA PL STE B",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298015312",
            "telephone_number": "803-306-7733",
            "fax_number": "803-716-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TIFFANI",
        "middle_name": "YVONNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-23",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "MD36325",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "85674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "856746",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aiken, SC

Sources for this page

Verify at the official NPI Registry.