TIFFANY NICOLE PARKS (NPI# 1336383751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336383751 |
| Entity Type | Individual |
| Full Name | TIFFANY NICOLE PARKS |
| Credential | M.D. |
| Practice Address |
3001 Gordon Hwy Grovetown GA 30813-3808 |
| Practice Telephone | 7068554700 |
| Mailing Telephone | 7068554700 |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2012-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 68594 | GA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902284706 | Tiffany Nicole Parks | Physical Therapist | 300 E Sonterra Blvd, Ste 210, San Antonio, TX 78258-3971 | 2015-05-12 |
| 1093087496 | Tiffany Faith Parks | Social Worker | 541 Main St Ste 303, Weymouth, MA 02190-1845 | 2012-01-31 |
| Street Address |
3001 GORDON HWY |
| City | GROVETOWN |
| State | GA |
| Zip Code | 30813-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477674497 | Judieth Evonne Baker-brown | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-04-03 |
| 1982211520 | Elijah Lee Carter | Rehabilitation Counselor | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2020-09-28 |
| 1902397151 | Augusta State Medical Prison | Pharmacy | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2018-05-23 |
| 1598144065 | William Cheatam | Physician Assistant | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2015-05-29 |
| 1578942769 | Georgia Dept. of Corrections | General Acute Care Hospital | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2015-05-21 |
| 1558740704 | Colette Vincent | Nurse Practitioner | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2015-05-20 |
| 1235340852 | Cynthia S Ditslear | Dentist | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-25 |
| 1366653313 | Millie Reeves | Physician Assistant | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-24 |
| 1073724894 | Smitha Suraj | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-24 |
| 1427261130 | Timothy Young | General Practice | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598276412 | Georgia Dental Professionals, PC | Dentist | 9596 Bentley Dr., Grovetown, GA 30813 | 2017-10-18 |
| 1558891895 | Jennifer M Humm | Dentist | 250 Merridian Drive, Grovetown, GA 30813 | 2017-06-19 |
| 1710335443 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 435 Lewiston Rd, Grovetown, GA 30813 | 2016-06-03 |
| 1558727214 | Lynda R Green | Counselor | 426 Northrop Place, Grovetown, GA 30813 | 2016-01-11 |
| 1689002610 | Patriots Park Dental, LLC | Dentist | 701 Devika Drive, Ste 10, Grovetown, GA 30813 | 2013-10-30 |
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1548519481 | Ashley Roberts Saunders | Pharmacist | 869 Horizon South Parkway, Grovetown, GA 30813 | 2012-09-06 |
| 1447569694 | Wallace Allen Partridge Jr. | Pharmacist | 5104 Wrightsboro Rd., Fred's Pharmacy 1699, Grovetown, GA 30813 | 2010-10-05 |
| 1497908149 | Sharon M Blair | Registered Nurse | 7640 Pleasantville Way, Grovetown, GA 30813 | 2008-10-28 |
| 1710160791 | Rebecca Meek | Nurse Practitioner | 469 Lewiston Rd, Grovetown, GA 30813 | 2007-12-12 |
| Find all providers in zip 30813 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255680096 | David Schulte Jr. | Internal Medicine | 925 Branch Ct Ste 2101, Grovetown, GA 30813 | 2012-09-07 |
| 1477674497 | Judieth Evonne Baker-brown | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-04-03 |
| 1457759847 | Umg Prompt Care LLC | Internal Medicine | 925 Branch Ct Ste 101, Grovetown, GA 30813-3325 | 2014-12-17 |
| 1073724894 | Smitha Suraj | Internal Medicine | 3001 Gordon Hwy, Grovetown, GA 30813-3808 | 2007-05-24 |
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|---|---|---|---|---|
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| 1285235036 | Neighbormd of South Atlanta LLC | Internal Medicine | 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 | 2020-11-06 |
| 1770182586 | Nuberty Inc | Internal Medicine | 227 Sandy Springs Pl Ste 220, Sandy Springs, GA 30328-5935 | 2020-10-22 |
| 1427664333 | Nations Medical Clinic Inc | Internal Medicine | 3099 Bredkinridge Blvd, Suite 110/111, Duluth, GA 30096-1011 | 2020-09-17 |
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1790399475 | Janice Carol Gould | Internal Medicine | 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 | 2020-09-01 |
| 1952914368 | Hardy Renew Wellness,llc | Internal Medicine | 838 Cannon Run Sw, Marietta, GA 30064-4600 | 2020-08-25 |
| 1013529577 | Willy Armand Yougang Tchoutang | Internal Medicine | 120 Stoney Creek Dr, Kathleen, GA 31047-3120 | 2020-08-17 |
| 1841800679 | Om Primary Care LLC | Internal Medicine | 4300 Westbrook Rd Bldg A, Suwanee, GA 30024-4987 | 2020-08-06 |
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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.