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

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

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, CMS release of October 2, 2026; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-09-17

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Private Vehicle

NUCC Taxonomy Code: 347C00000X

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

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

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location September 17, 2024

Registered at 5141 STONE MOUNTAIN HWY APT 1107, STONE MOUNTAIN, GA 300873492 (Tel: 4045768773)

📍

Updated Business Mailing Address September 17, 2024

Registered at 5141 STONE MOUNTAIN HWY APT 1107, STONE MOUNTAIN, GA 300873492 (Tel: 4045768773)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2024

Private Vehicle

✅

NPI Profile Active December 02, 2010

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) December 02, 2010

Registered at 8400 LOUISIANA ST, MERRILLVILLE, IN 464106385 (Tel: 2197571932)

📍

Business Mailing Address (Initial Record) December 02, 2010

Registered at 672 169TH ST, HAMMOND, IN 463241954 (Tel: 2199310292)

👤

Provider Name / Credentials (Initial Record) December 02, 2010

Recorded as TIFFINY MURRY

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 02, 2010

Physician Assistant

🟢

Initial NPI Registration & Enumeration December 02, 2010

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407158082

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: December 02, 2010

Last Update: September 17, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

5141 Stone Mountain Hwy Apt 1107

Stone Mountain, GA 300873492

Phone: 4045768773

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.