Tiffany B Richey, NP
Nurse Practitioner, Family in Lawrenceville, GA. Individual provider (NPI-1).
NPI number1619035136
StatusActive
Last updated in NPPESMar 18, 2019
Details
- NPI
- 1619035136
- Entity type
- Individual (NPI-1)
- Name
- Tiffany B Richey
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 5, 2006
- Last updated
- Mar 18, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | RN151213 | GA | Yes |
Practice location
2990 Five Forks Trickum RdLawrenceville, GA 30044-5872
Phone 678-732-1517
Mailing address
2727 Paces Ferry Rd Se Ste 1-1100Atlanta, GA 30339-6151
Phone 470-271-3418
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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