Dr. Tiffany M Delice, M.D.
Psychiatry & Neurology, Psychiatry in Valdosta, GA. Individual provider (NPI-1).
NPI number1619976891
StatusActive
Last updated in NPPESNov 2, 2017
Details
- NPI
- 1619976891
- Entity type
- Individual (NPI-1)
- Name
- Dr. Tiffany M Delice
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 19, 2005
- Last updated
- Nov 2, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PSYCHIATRY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- 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 |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 054448 | GA | Yes |
Other names
- Tiffany M Kumpel (Former Name)
Practice location
111 N Patterson StValdosta, GA 31601-5515
Phone 229-219-1831 · Fax 229-219-1832
Mailing address
111 N Patterson StValdosta, GA 31601-5515
Phone 229-219-1831 · Fax 229-219-1832
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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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