| Ms Tiffany Mike, NP | |
|
640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 | |
| (478) 334-1220 | |
| Not Available |
| Full Name | Ms Tiffany Mike |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 3 Years |
| Location | 640 Martin Luther King Jr Blvd Ste 200, Macon, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205659562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LG0600X | Nurse Practitioner - Gerontology | RN146927 (Georgia) | Secondary |
| 363L00000X | Nurse Practitioner | RN146927 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifeline Vascular Center - Albany, Llc | 2567607690 | 3 |
| Privia Medical Group Of Georgia Llc | 4284951542 | 411 |
| Entity Name | Lifeline Vascular Center - Albany, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861730855 PECOS PAC ID: 2567607690 Enrollment ID: O20130320000651 |
| Entity Name | Privia Medical Group Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013313857 PECOS PAC ID: 4284951542 Enrollment ID: O20150325000983 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Tiffany Mike, NP 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 Ph: (478) 745-5455 | Ms Tiffany Mike, NP 640 Martin Luther King Jr Blvd Ste 200, Macon, GA 31201-3297 Ph: (478) 334-1220 |
Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932 | |
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345 | |
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191 | |
Linda Denice Farrow, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 105 Heath Pl Rd, Macon, GA 31220 Phone: 478-765-2010 | |
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384 | |
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1508 Hardeman Ave Ste B, Macon, GA 31201 Phone: 478-741-7337 | |
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092 |