Active NPI
Jennifer Ann Tiffany, CNM, WHNP-BC
- Advanced Practice Midwife
- Fort Bragg, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 572
- Practice address
- 2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001 - Phone
- (910) 907-8333
- NPI assigned
- Apr 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 5005564 | NC | |
| Advanced Practice Midwife | 367A00000X | 572 | NC | Primary |
Addresses
Primary practice location
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Mailing address
2817 Rock Merritt Ave
Fort Bragg, NC 28310-0001
Phone (910) 907-8707
Other practice location 1
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-3500
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
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- University of South Alabama College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 323-2626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 572 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Cape Fear Valley Health Medical Group LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Hoke Healthcare LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Advanced Practice Midwife | Current | Accepting new patients |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients | |
| Cape Fear Valley Health Medical Group LLC | Current | Accepting new patients | |
| Cape Fear Valley Health Medical Group LLC | Current | Accepting new patients | |
| Hoke Healthcare, LLC | Current | Accepting new patients | |
| Cumberland County Hospital System Inc | Current | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
1025 Morehead Medical Dr
Ste 400
Charlotte, NC 28204
15110 John J Delaney Dr
Ste 100
Charlotte, NC 28277
Phone (704) 512-5100
4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171
1341 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-3500
1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610
300 Medical Pavilion Dr
#25
Raeford, NC 28376
Phone (910) 904-8035
300 Medical Pavilion Dr
Ste 250
Raeford, NC 28376
Phone (910) 904-8035
110 W Grover St
Shelby, NC 28150
Phone (704) 487-5258
Interoperability endpoints
- jtiffany10430@capefearvalley.direct-ci.com
- jtiffany500235@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 11
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.
-
- Orthopaedic Surgery Physician
- Fayetteville, NC
- NPI 1235957655
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Hematology & Oncology Physician
- Fayetteville, NC
- NPI 1881946242
-
- Clinic/Center
- Raeford, NC
- NPI 1114277035
-
- Orthopaedic Surgery of the Spine Physician
- Fayetteville, NC
- NPI 1568315554
-
- Obstetrics & Gynecology Physician
- Fayetteville, NC
- NPI 1861217846
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1437168937
-
- Obstetrics & Gynecology Physician
- Fayetteville, NC
- NPI 1497757785
Advanced Practice Midwife
-
- Diagnostic Radiology Physician
- Fayetteville, NC
- NPI 1962299743
-
- General Acute Care Hospital
- Raeford, NC
- NPI 1750788238
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773619200000",
"number": "1972861045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 ROCK MERRITT AVE",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "283100001",
"telephone_number": "910-907-8333"
}
],
"practiceLocations": [
{
"address_1": "1638 Owen Dr",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "NC",
"postal_code": "283043424",
"country_code": "US",
"telephone_number": "910-615-3500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TIFFANY",
"first_name": "JENNIFER",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "CNM, WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-26",
"last_updated": "2026-03-16",
"certification_date": "2026-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "5005564",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "572",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.