Individual provider Active NPI

Tiffany Nechelle Lucas, FNP

  • Family Nurse Practitioner
  • Greensboro, NC
National Provider Identifier
1982203733
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013713 Issued in NC
Practice address
1100 E Wendover Ave
Greensboro, NC 27405-6713
Phone
(336) 641-6713
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 5013713 NC Primary

Addresses

Primary practice location

1100 E Wendover Ave
Greensboro, NC 27405-6713

Mailing address

1100 E Wendover Ave
Greensboro, NC 27405-6713
Phone (336) 641-6713

Other practice location 1

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 890-3822

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
I20230310002682 NC Practitioner - Nurse Practitioner 8628441706 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Physician Services, IncGroup PAC ID 4284782210, 397 clinicians

Practice addresses (Care Compare)

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 663-5038

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Multi-Specialty CurrentSince Jan 26, 2026 Accepting new patients
Moses Cone Physician Services Inc Multi-Specialty CurrentSince Jan 26, 2026 Accepting new patients
Grove Park Pediatrics PastSince Oct 1, 2020 Accepting new patients
Triad Adult and Pediatric Medicine, Inc. Past Accepting new patients

Locations

300 W Northwood St
Greensboro, NC 27401
Phone (336) 275-0927

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1982203733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056713",
            "telephone_number": "336-641-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056713",
            "telephone_number": "336-641-6713"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 E Wendover Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011229",
            "country_code": "US",
            "telephone_number": "336-890-3822",
            "fax_number": "336-663-5367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUCAS",
        "first_name": "TIFFANY",
        "middle_name": "NECHELLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.