Tiffany Johnson
Individual provider Active NPI Registered Nurse · Rockmart, GA
NPI 1992625065 · NPPES record last updated Jul 20, 2026
Key facts
- NPI
- 1992625065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN161902 (GA)
- Practice address
- 3632 Rockmart Rd
Rockmart, GA 30153-5108 - Phone
- (770) 713-7206
- NPI assigned
- Jul 20, 2026
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN161902 | GA | Yes |
Addresses
Primary practice location
3632 Rockmart Rd
Rockmart, GA 30153-5108
Mailing address
3632 Rockmart Rd
Rockmart, GA 30153-5108
Other providers in Rockmart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 20, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.