Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tiffany Mike , NP

Nurse Practitioner β€’ Macon, GA

Active NPI 1205659562 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

640 Martin Luther King Jr Blvd Ste 200
Macon, GA 312013297

Call 4783341220 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

640 Martin Luther King Jr Blvd Ste 200

Macon, GA 312013297

Telephone 4783341220
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Warner Robins, GA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 2 distinct group names: Lifeline Vascular Center - Albany, Llc; Privia Medical Group Of Georgia Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Open Payments general payments, program year 2025

All general payments: $246.10 across 11 records.

By nature of payment

  • Food and Beverage: $246.10 across 11 records.

Reporting-company totals (3 largest of 10)

  • Smith+Nephew, Inc.: $44.57 across 2 records.
  • Otsuka America Pharmaceutical, Inc.: $34.09 across 1 record.
  • Globus Medical, Inc.: $32.40 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tiffany Mike has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tiffany Mike as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Macon and Georgia

145 active clinicians are listed under Nurse Practitioner with a practice address in Macon, GA (3,110 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Macon

6.2% of these 145 clinicians have the CMS telehealth indicator.

61.4% of these 145 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): 11 records totaling $246.10.

Manufacturer Payment Nature Product Type Amount ($)
Otsuka America Pharmaceutical, Inc.
Food and Beverage
In-kind items and services
JYNARQUE General $34.09
Globus Medical, Inc.
Food and Beverage
Cash or cash equivalent
Senza General $32.40
Vifor Pharma, Inc.
Food and Beverage
In-kind items and services
Veltassa General $26.47
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
COLLAGENASE SANTYL General $23.63
Smith+Nephew, Inc.
Food and Beverage
In-kind items and services
COLLAGENASE SANTYL General $20.94
Stryker Corporation
Food and Beverage
In-kind items and services
ARTIX MT General $20.83
AKEBIA THERAPEUTICS INC
Food and Beverage
In-kind items and services
Vafseo General $20.10
Ardelyx, Inc.
Food and Beverage
In-kind items and services
IBSRELA General $18.25
Kerecis Limited
Food and Beverage
Cash or cash equivalent
Kerecis SurgiClose General $17.36
Apellis Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
Empaveli General $16.47
Neuros Medical, Inc.
Food and Beverage
In-kind items and services
Altius General $15.56

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES GA RN146927

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

License # reported to NPPES GA RN146927
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20241223002571

Enrollment State Jurisdiction

GA

PECOS Control ID

5890222335

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Privia Medical Group Of Georgia Llc

910 N 5th St, Cordele, GA 310153254

Phone: 2298059770

Lifeline Vascular Center - Albany, Llc

2300 Dawson Rd, Albany, GA 317072804

Phone: 2298886466

Privia Medical Group Of Georgia Llc

101 Yorktown Dr, Fayetteville, GA 302147663

Phone: 7704604285

Privia Medical Group Of Georgia Llc

2300 Dawson Rd, Albany, GA 317072804

Phone: 2294368535

Privia Medical Group Of Georgia Llc

101 Yorktown Dr, Fayetteville, GA 302141578

Secondary Practice Locations

309 Osigian Blvd

Warner Robins, GA 310888953

Phone: 4787455455

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Christopher Chang , NP

Nurse Practitioner

NPI 1457090110

Nurse Practitioner

Dr. Ahmad Kabbani , MD

Internal Medicine - Nephrology

NPI 1528328796

Doctor of Medicine (M.D.)

Heather Self , FNP-BC

Nurse Practitioner

NPI 1336611714

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location February 19, 2026

Registered at 640 MARTIN LUTHER KING JR BLVD STE 200, MACON, GA 312013297 (Tel: 4783341220)

πŸ“
Updated Business Mailing Address February 19, 2026

Registered at 640 MARTIN LUTHER KING JR BLVD STE 200, MACON, GA 312013297 (Tel: 4787455455)

βœ…
NPI Profile Active November 05, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 05, 2024

Registered at 2300 DAWSON RD, ALBANY, GA 317072803 (Tel: 2294368535)

πŸ“
Business Mailing Address (Initial Record) November 05, 2024

Registered at 98 PALMETTA RD, TIFTON, GA 317938369 (Tel: 2298483442)

πŸ‘€
Provider Name / Credentials (Initial Record) November 05, 2024

Recorded as TIFFANY MIKE, NP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2024

Nurse Practitioner (license number reported to NPPES: GA RN146927)

🟒
Initial NPI Registration & Enumeration November 05, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205659562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2024
Last Update: February 19, 2026
Sole Proprietor: No

Other Nurse Practitioners in Macon

All Nurse Practitioners in Macon

Mailing Address

640 Martin Luther King Jr Blvd Ste 200

Macon, GA 312013297

Phone: 4787455455

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.