MRS. TIFFANI AMBER WILSON APRN
NPI 1073376414
Nurse Practitioner - Acute Care in Canton, GA

Q: What is Tiffani Wilson's NPI number?

The NPI number for Tiffani Wilson is 1073376414. It was assigned to this individual provider in the NPPES registry on January 30, 2024. The provider is also known as Tiffani Amber Reynolds.

Q: What is Tiffani Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Tiffani Wilson was last updated on December 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.

Active since January 30, 2024PECOS EnrolledAccepts Medicare Assignment

450 NORTHSIDE CHEROKEE BLVD, CANTON, GA 30115(770) 224-1000(770) 224-2451 Get Directions Write a Review

NPPES record last updated: December 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Tiffani Amber Wilson Aprn NPPES

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

MRS. TIFFANI AMBER WILSON APRN (NPI 1073376414) is an individual acute care provider in Canton, Georgia, licensed in Georgia (APRN-NP302592) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and maintains a secondary practice location in Cumming.

NPPES Registry Identity

NPI1073376414

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameMRS. TIFFANI AMBER WILSONCredential: APRN

Location Address450 NORTHSIDE CHEROKEE BLVDCanton, GA 30115-8015

Mailing Address1200 Northside Forsyth DrCumming, GA 30041-7659 · (770) 844-3200 · Fax (770) 844-3227

Phone(770) 224-1000

Fax(770) 224-2451

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateJanuary 30, 2024

Last NPPES UpdateDecember 28, 2025

NPPES CertifiedDecember 28, 2025

✔ NPI 1073376414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · APRN-NP302592

450 NORTHSIDE CHEROKEE BLVD, Canton, GA 30115

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Other Names 1

Former Name (1)Tiffani Amber Reynolds

Secondary Practice Location 1

Location 11200 Northside Forsyth DrCumming, GA 30041-7659 · Phone (770) 844-3200 · Fax (770) 844-3227

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Tiffani Amber Wilson Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103304787

PECOS Enrollment IDI20260204001263

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110005

Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County

Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

ERICA ADDISON AA-C

Anesthesiologist Assistant