TIFFANY STAR KELLEY (NPI# 1063073625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063073625 |
| Entity Type | Individual |
| Full Name | TIFFANY STAR KELLEY |
| Credential | FNP-C |
| Practice Address |
109 Hospital Dr Calhoun GA 30701-2067 |
| Practice Telephone | 7066250333 |
| Practice Fax Number | 7066251269 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN191521 | GA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982092110 | Tiffany Dee Kelley | Physical Therapy Assistant | 555 N Byron Butler Pkwy, Perry, FL 32347-2315 | 2014-12-22 |
| 1063536803 | Tiffany D Kelley | Speech-Language Pathologist | 675 Seminole Ave Ne, Suite T05, Atlanta, GA 30307-3408 | 2007-03-19 |
| Street Address |
109 HOSPITAL DR |
| City | CALHOUN |
| State | GA |
| Zip Code | 30701-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841821246 | Charlotte A Brooks | Nurse Practitioner | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2020-02-04 |
| 1295296184 | Cayla Bagwell Pulliam | Nurse Practitioner | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2019-03-25 |
| 1174096721 | Asia Karenina Deslattes | Nurse Practitioner | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2019-01-07 |
| 1245767128 | Rhonda Gilbert | Nurse Practitioner | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2017-05-22 |
| 1669843603 | Laura Scileppi Mudrich | Nurse Practitioner | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2015-10-16 |
| 1013329622 | Julia Anne Rittenhouse | Family Medicine | 109 Hospital Dr, Calhoun, GA 30701 | 2014-05-30 |
| 1689011181 | Temitope Ibereola Afon | Family Medicine | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2013-05-24 |
| 1164586004 | Christopher James Yamamoto | Family Medicine | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2006-12-21 |
| 1477521813 | Owasa Family Medicine | Family Medicine | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2006-03-10 |
| 1285604801 | Harvey Paul Leblanc Jr. | Family Medicine | 109 Hospital Dr, Calhoun, GA 30701-2067 | 2006-01-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1639714140 | Alexis Mann | Counselor | 629 Harkins Street, Calhoun, GA 30701 | 2019-11-08 |
| 1649812322 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 225 Lovers Lane, Calhoun, GA 30701 | 2019-10-14 |
| 1225679186 | Alexandra Halleck | Physical Therapy Assistant | 1387 Hwy 41 N, Calhoun, GA 30701 | 2019-10-02 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1548745342 | Gacalhoun Snf LLC | Skilled Nursing Facility | 1387 Highway 41 N., Calhoun, GA 30701 | 2018-09-27 |
| 1568990018 | Katherine Ann Hayes | Physical Therapy Assistant | Blue Ridge Nursing Home Calhoun, 1387 Us 41 N, Calhoun, GA 30701 | 2017-05-30 |
| 1639566508 | Moslem Eskandari | Pharmacist | 1101 Red Bud Rd, Calhoun, GA 30701 | 2015-04-18 |
| 1366882367 | Stella P. Bonner | Dentist | 500 South Wall St., Calhoun, GA 30701 | 2013-07-05 |
| 1417393885 | New Serenity Inc | Clinic/Center | 1321 Hwy 41 N, Calhoun, GA 30701 | 2013-05-13 |
| Find all providers in zip 30701 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739103 | Denise Dixon Ward | Nurse Practitioner | 3505 Red Bud Rd Ne, Calhoun, GA 30701-9528 | 2020-10-29 |
| 1013543990 | Ronald Seth Van Dyke | Nurse Practitioner | 1035 Red Bud Rd Ne Ste 201, Calhoun, GA 30701-6000 | 2020-03-23 |
| 1821559642 | Samuel Blake Olson | Nurse Practitioner | 385 Liberty Rd Sw, Calhoun, GA 30701-3272 | 2019-03-26 |
| 1508325432 | Angela Munyan Chin | Nurse Practitioner | 1754 Everett Springs Rd Ne, Calhoun, GA 30701 | 2019-03-19 |
| 1871970822 | Linda Green | Nurse Practitioner | 7311 Fairmount Hwy Se, Calhoun, GA 30701-4024 | 2015-04-29 |
| 1881087682 | Kamp Management, LLC | Nurse Practitioner | 240 Candy Craig Dr, Calhoun, LA 71225-8661 | 2015-03-18 |
| 1427343417 | Rachel L Johnson | Nurse Practitioner | 260 Saddlebrook Dr Se, Calhoun, GA 30701-4655 | 2011-06-17 |
| 1487989257 | Alan Ray Hancock | Nurse Practitioner | 3057 Highway 80 W, Calhoun, LA 71225-7907 | 2009-10-12 |
| 1275792111 | Kelli L. Singh | Nurse Practitioner | 109 Hospital Drive, Owasa Family Medicine, Calhoun, GA 30701-2067 | 2008-06-05 |
| 1144487646 | Rachel T Glaze | Nurse Practitioner | 450 Clarence King Pkwy, Calhoun, GA 30701-3628 | 2008-05-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.