Tiffany Anne Clowers, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-06131 Issued in NC

Practice address

125 S Main St
Bladenboro, NC 28320-8439

Phone

(910) 809-0030

NPI assigned

Jan 28, 2016

Last updated

Jun 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Skin and Wellness Center PLLCGroup PAC ID 9638618978, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25741/brand/1/csg/1/fhir/r4

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.

• The Skin & Wellness Center PLLC

  • Physician Assistant
  • Bladenboro, NC
  • NPI 1104668219
  Medicare reassignment Care Compare group
• Above & Beyond Wellness and Medspa, PLLC

  • Dermatology Physician
  • Elizabethtown, NC
  • NPI 1235886870
  Medicare reassignment
• Southeastern Dermatology, PA

  • Dermatology Physician
  • Lumberton, NC
  • NPI 1922043629
  Medicare reassignment

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

{
    "created_epoch": "1453939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1942667449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283208439",
            "telephone_number": "910-809-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 S MAIN ST",
            "city": "BLADENBORO",
            "state": "NC",
            "postal_code": "283208439",
            "telephone_number": "910-809-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOWERS",
        "first_name": "TIFFANY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-28",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candice Jones Bryan, FNP
• Bse, Inc (The Medicine Shoppe)
• Bse, Inc. (The Medicine Shoppe 0230)
• Christopher Clark DDS PA (Bladenboro Family Dentistry)
• Clark, Hays and Associates, PLLC
• Coastal Southeastern United Care LLC
• Donald Benton Helms (Bladenboro Eye Clinic)
• Michal Paul Dove
• Dr. Kim's Adult Clinic, PLLC
• Crystal Edwards, P.A.-C

• Medical Physician Assistant in Bladenboro, NC
• Providers in Bladenboro, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.