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TIFFANY CHERELL EDWARDS
NPI 1063144988
Counselor - Professional in Roswell, GA

Active since June 29, 2022PECOS Enrolled
1380 WOODSTOCK RD, ROSWELL, GA 30075(770) 640-3131 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 26, 2024, Oct 11, 2022 (2 updates tracked since 2022).

About Tiffany Cherell Edwards NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY CHERELL EDWARDS (NPI 1063144988) is an individual professional provider in Roswell, Georgia, licensed in Georgia (LPC010172) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1063144988
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTIFFANY CHERELL EDWARDS
Location Address1380 WOODSTOCK RDRoswell, GA 30075-2141
Mailing Address1380 Woodstock RdRoswell, GA 30075-2141
Phone(770) 640-3131
Sole ProprietorNo
Enumeration DateJune 29, 2022
Last NPPES UpdateSeptember 26, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2024
✔ NPI 1063144988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in GA · LPC010172
1380 WOODSTOCK RD, Roswell, GA 30075
Open in Google Maps ↗

Secondary Practice Location 1

Location 18800 Roswell Rd Ste 245Atlanta, GA 30350-1859 · Phone (855) 284-7483 · Fax (617) 807-0958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Cherell Edwards is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tiffany Edwards reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Minuteclinic LLC
529 mi
Family
7955 TUCKERMAN LN
Rockville, MD 20854
  • Reassigned Medicare billing, Georgia enrollment
  • 350 clinicians in this Medicare group
NPI 1134191836 (866) 389-2727

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. FRANK MARTIN CONNELLY
Pharmacist
1380 WOODSTOCK RD
ROSWELL, GA 30075
Fulton County (770) 640-3131
DESHAWN WILLIAMS APRN
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Fulton County (866) 389-2727
MRS. KRISTIN ALOI SMITH APRN
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Fulton County (866) 389-2727
JOAN OHAWA NP
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Fulton County (678) 000-0000
JESSICA ANN NICOLETTI NP
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Fulton County (702) 308-8750
GEORGIA CVS PHARMACY, L.L.C.
Pharmacy
1380 WOODSTOCK RD
ROSWELL, GA 30075
Fulton County (770) 640-3131
MRS. ASHLEY JACOB KURUVILLA FNP-C
Nurse Practitioner (Family)
1380 WOODSTOCK RD
ROSWELL, GA 30075
Fulton County (770) 640-3131
BERNARDINE ELECHI PHARMD, RPH
Pharmacist
1380 WOODSTOCK RD
ROSWELL, GA 30075
Fulton County (770) 640-3131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Edwards's NPI number?

The NPI number for Tiffany Edwards is 1063144988. It was assigned to this individual provider in the NPPES registry on June 29, 2022.

Where is Tiffany Edwards located?

Tiffany Edwards practices at 1380 Woodstock Rd, Roswell, GA 30075. The listed phone number is (770) 640-3131.

What is Tiffany Edwards's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Tiffany Edwards enrolled in Medicare?

Yes. Tiffany Edwards is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tiffany Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiffany Edwards reassigns Medicare benefits to Minuteclinic LLC (Rockville, MD). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiffany Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiffany Edwards accept?

Health plans from Oscar Health list Tiffany Edwards as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Edwards was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.