Tiffany Boring (NPI# 1518254341, PAC ID# 3779753017) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1518254341 |
| PAC ID by PECOS | 3779753017 |
| Professional Enrollment ID | I20110824000623 |
| Full Name | Tiffany Boring |
| Organization Legal Name | GRACE HEALTH SERVICES PLLC |
| Address |
104 Grand Ave Copperhill TN 37317-5500 |
| Phone Number | 4235481000 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5597012286 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110189 | FANNIN REGIONAL HOSPITAL |
| 110051 | UNION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 104 Grand Ave, Copperhill, TN 37317-5500 | 4235481000 | GRACE HEALTH SERVICES PLLC |
| Organization Legal Name | GRACE HEALTH SERVICES PLLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bethany Whitener | Nurse Practitioner | Grace Health Services Pllc | 104 Grand Ave, Copperhill, TN 37317-5500 |
| Street Address |
104 GRAND AVE |
| City | COPPERHILL |
| State | TN |
| Zip | 37317-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bethany Whitener | Nurse Practitioner | Grace Health Services Pllc | 104 Grand Ave, Copperhill, TN 37317-5500 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen M Treon | Internal Medicine | 141 Ocoee St, Copperhill, TN 37317-4072 | |
| Allen S Uhlik | Internal Medicine | 144 Medical Ctr Dr, Copper Hill, TN 37317-5000 | |
| Stacie M Nelson | Nurse Practitioner | Mahmood A Siddiqui Md PC | 144 Medical Ctr Dr, B, Copperhill, TN 37317-5000 |
| Jessica E Collins | Physician Assistant | Mahmood A Siddiqui Md PC | 144 Medical Ctr Dr, B, Copperhill, TN 37317-5000 |
| Katharine S Sampson | Physical Therapy | North Georgia Physical Therapy | 144 Medical Ctr Dr A, Copperhill, TN 37317-5006 |
| City | COPPERHILL |
| Zip Code | 37317 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | COPPERHILL + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.