Active NPI
Tiffanie Gibson
- Family Nurse Practitioner
- Moultrie, GA
National Provider Identifier
1962881359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN173450
- Practice address
- 143 US Hwy 319 S
Unit 12
Moultrie, GA 31768-3176 - Phone
- (229) 985-0208
- NPI assigned
- May 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN173450 | GA | Primary |
Addresses
Primary practice location
143 US Hwy 319 S
Unit 12
Moultrie, GA 31768-3176
Mailing address
4 Live Oak CT
Moultrie, GA 31768
Phone (229) 985-1080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150622001037 | GA | Practitioner - Nurse Practitioner | 9638480379 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Swartzentruber Medical Services LLC
Practice addresses (Care Compare)
440 Paul Murphy Rd
Moultrie, GA 31768-0428
Phone (229) 891-5308
Hospital & facility affiliations
- Turning Point Hospital
- Colquitt Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN173450 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Turning Point Care Center LLC | Current | Accepting new patients | |
| Turning Point Care Center LLC | Current | Accepting new patients | |
| Swartzentruber Medical Services LLC | Current | Accepting new patients | |
| Gibson Wellness, LLC | Family | Current | Accepting new patients |
Locations
3015 Veterans Pkwy S
Moultrie, GA 31788
Phone (229) 873-6479
143 US Highway 319 S
Ste 12
Moultrie, GA 31768
Phone (229) 985-0208
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 and National Provider Directory roles.
-
- Psychiatric Hospital
- Moultrie, GA
- NPI 1699000273
Hospital & facility affiliations 3
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": "1431993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1962881359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 LIVE OAK CT",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "31768",
"telephone_number": "229-985-1080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 US HWY 319 S",
"address_2": "UNIT 12",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317683176",
"telephone_number": "229-985-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBSON",
"first_name": "TIFFANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-19",
"last_updated": "2025-02-26",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN173450",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; 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.