MRS. TIFFANY JEANNE-MILLS WIMSATT PA-C NPI 1851657241

NPI Information

NPI: 1851657241
Provider Name: MRS. TIFFANY JEANNE-MILLS WIMSATT, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2780 BOB WALLACE AVE SW
HUNTSVILLE, AL
ZIP 35805
Phone: (256) 533-4626
Get Directions

MRS. Tiffany Jeanne-mills Wimsatt, PA-C is a medical physician assistant in Huntsville, AL with 13 years of experience. MRS. Tiffany Jeanne-mills Wimsatt, PA-C NPI is 1851657241. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2780 BOB WALLACE AVE SW
HUNTSVILLE, AL
ZIP 35805-104
Phone: (256) 533-4626
Fax: (256) 533-4710

The NPI 1851657241 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/10/2012 and was last updated on 10/30/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0010-03282	NORTH CAROLINA	No
2	363AM0700X	Physician Assistant	Medical	56953	CALIFORNIA	Yes
3	363AM0700X	Physician Assistant	Medical	PA-1193	ALABAMA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NC9403A	OTHER	NORTH CAROLINA	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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