Tiffany Hayes, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1646 Issued in TN

Legal business name

TIFFANY HAYES, PA

Practice address

7405 Shallowford Rd Ste 320
Chattanooga, TN 37421-2662

Phone

(423) 805-3822

Fax

(423) 805-3835

NPI assigned

Nov 8, 2017

Organization subpart

No

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

Authorized official

Name

Tiffany S Hayes, PANPI 1831356658

Title

Owner

Phone

(423) 805-3832

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany Hayes, PA-C

  • Medical Physician Assistant
  • Chattanooga, TN
  • NPI 1831356658
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1861905234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22423",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374222423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7405 SHALLOWFORD RD STE 320",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212662",
            "telephone_number": "423-805-3822",
            "fax_number": "423-805-3835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY HAYES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-805-3832",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "1646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jill Rene Tichy, M.D.
• Mary Margaret Tickle
• Frank Tift, M.D.
• Michael C Tigar, MD
• Tasha Tigner
• Crystal Tillery, MSN, APRN, AGACNP-BC
• Amy L. Tillett, N.P.

• Medical Physician Assistant in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.