Mrs Tiffany Shante Gibson, APRN,BC, MN, RNC - Medicare Nurse Practitioner in King, NC

Mrs Tiffany Shante Gibson, APRN,BC, MN, RNC is a medicare enrolled "Nurse Practitioner" in King, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Forsyth Memorial Hospital Inc, Novant Medical Group Inc and her current practice location is 216 Moore Rd, King, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 983-4346.

Mrs Tiffany Shante Gibson is licensed to practice in North Carolina (license number 5002056) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033212287.

Contact Information

Mrs Tiffany Shante Gibson, APRN,BC, MN, RNC
216 Moore Rd,
King, NC 27021-8703
(336) 983-4346
Not Available

Map and Direction




Provider's Profile

Full NameMrs Tiffany Shante Gibson
GenderFemale
SpecialityNurse Practitioner
Experience18 Years
Location216 Moore Rd, King, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Tiffany Shante Gibson attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 2006
  NPI Data:
  • NPI Number: 1033212287
  • Provider Enumeration Date: 09/06/2006
  • Last Update Date: 08/01/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3870595564
  • Enrollment ID: I20070208000689

Medical Identifiers

Medical identifiers for Mrs Tiffany Shante Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033212287NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health 0050-02056 (North Carolina)Secondary
363LF0000XNurse Practitioner - Family 0050-02056 (North Carolina)Secondary
363L00000XNurse Practitioner 5002056 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Novant Health Forsyth Medical CenterWinston-salem, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Forsyth Memorial Hospital Inc9537071790531
Novant Medical Group Inc11532348931996

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Tiffany Shante Gibson allows following entities to bill medicare on her behalf.
Entity NameNovant Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692
Entity NameForsyth Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104548874
PECOS PAC ID: 9537071790
Enrollment ID: O20040405001702

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Tiffany Shante Gibson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Tiffany Shante Gibson, APRN,BC, MN, RNC
Po Box 751803,
Charlotte, NC 28275-1803

Ph: (336) 993-8181
Mrs Tiffany Shante Gibson, APRN,BC, MN, RNC
216 Moore Rd,
King, NC 27021-8703

Ph: (336) 983-4346

Reviews and Comments


Nurse Practitioner Nurses in King, NC

Mrs. Michele Mariano Lizano, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 167 Moore Rd Ste 206, King, NC 27021
Phone: 336-673-6450    Fax: 336-673-6449
Stephanie Amber Freeman, PMHNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 202 Scenic Dr, King, NC 27021
Phone: 336-985-0625    
Emily Marion Fischer, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 Moore Rd, King, NC 27021
Phone: 336-983-4346    
Jaden Moore Miethe, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 167 Moore Rd Ste 201, King, NC 27021
Phone: 336-673-6470    Fax: 336-673-6489
Brittney Thompson, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 216 Moore Rd, King, NC 27021
Phone: 336-983-4346    Fax: 336-985-5101
Candice Puckett Key, FNPC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Newsome Family Practice, 304 Mountainview Road, King, NC 27021
Phone: 336-716-2255    Fax: 336-983-3016

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.