Individual provider Active NPI

Tiffany Adcock, FNP

  • Nurse Practitioner
  • Richfield, NC
National Provider Identifier
1942298617
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5000947 Issued in NC
Practice address
243 N Highway 49
Richfield, NC 28137-5731
Phone
(980) 323-5520
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5000947 NC Primary

Addresses

Primary practice location

243 N Highway 49
Richfield, NC 28137-5731

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

105 Yadkin St
Ste 301
Albemarle, NC 28001-3449
Phone (980) 323-5360

Other practice location 2

112 E 1st St
Oakboro, NC 28129-9715
Phone (980) 323-5240

Other practice location 3

835 Albemarle Rd
Troy, NC 27371-8682
Phone (910) 572-2309

Other practice location 4

269 S Main St
Norwood, NC 28128-6435
Phone (980) 323-5470

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address tadcock137333@CarolinasHealthcareSystem.direct-ci.com Atrium Health
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20051216000499 NC Practitioner - Nurse Practitioner 5496776593 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Carolinas Physicians Network Inc 2,324 clinicians
Comprehab, Inc 376 clinicians

Practice addresses (Care Compare)

112 E 1St St
Oakboro, NC 28129-9715
Phone (980) 323-5240

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

243 N Hwy 49
Richfield, NC 28137-5731
Phone (980) 323-5520

2675 Court Dr
Gastonia, NC 28054-1478
Phone (704) 824-7800

Hospital & facility affiliations

  • Atrium Healt at Home Stanly Home health agency, Albemarle, NC, CCN 347113
  • Tillery Compassionate Care Hospice, Albemarle, NC, CCN 341542
  • Carolinas Medical Center/Behav Health Hospital, Charlotte, NC, CCN 340113
  • Stanly Regional Medical Center Hospital, Albemarle, NC, CCN 340119
  • Carolinas Medical Center-Northeast Hospital, Concord, NC, CCN 340001

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5000947NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jan 1, 2015 Accepting new patients
Carolinas Medical Center CurrentSince Feb 24, 2019 Accepting new patients
Carolinas Medical Center CurrentSince Feb 24, 2019 Accepting new patients
Carolinas Medical Center Current Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jan 1, 2015 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients
Cabarrus Family Medicine Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

105 Yadkin St
Ste 301
Albemarle, NC 28001
Phone (704) 982-9144

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

315 Medical Park Dr
Ste 202
Concord, NC 28025
Phone (704) 262-1911

270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060

269 S Main St
Norwood, NC 28128
Phone (704) 474-3171

112 E 1st St
Oakboro, NC 28129
Phone (704) 485-3319

243 N Highway 49
Richfield, NC 28137
Phone (704) 463-5003

835 Albemarle Rd
Troy, NC 27371
Phone (910) 572-2309

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/c32cb33f-ec61-4f25-9140-0b9b174fe4db/
  • Direct secure messaging: tadcock137333@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 9

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1942298617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 N HIGHWAY 49",
            "city": "RICHFIELD",
            "state": "NC",
            "postal_code": "281375731",
            "telephone_number": "980-323-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Yadkin St",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280013449",
            "country_code": "US",
            "telephone_number": "980-323-5360",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Oakboro",
            "state": "NC",
            "postal_code": "281299715",
            "country_code": "US",
            "telephone_number": "980-323-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "835 Albemarle Rd",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NC",
            "postal_code": "273718682",
            "country_code": "US",
            "telephone_number": "910-572-2309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "269 S Main St",
            "address_purpose": "LOCATION",
            "city": "Norwood",
            "state": "NC",
            "postal_code": "281286435",
            "country_code": "US",
            "telephone_number": "980-323-5470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADCOCK",
        "first_name": "TIFFANY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5000947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tadcock137333@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "243 N Highway 49",
            "city": "Richfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281375731",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richfield, NC

Sources for this page

Verify at the official NPI Registry.