TIFFANY BALLINGTON NP
NPI 1093470296
Nurse Practitioner - Family in Columbia, SC

Q: What is Tiffany Ballington's NPI number?

The NPI number for Tiffany Ballington is 1093470296. It was assigned to this individual provider in the NPPES registry on November 2, 2021.

Q: What is Tiffany Ballington's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 02, 2021PECOS EnrolledAccepts Medicare Assignment

7021 SAINT ANDREWS RD STE 1, COLUMBIA, SC 29212(864) 260-6995(864) 884-9909 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Tiffany Ballington Np NPPES

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

TIFFANY BALLINGTON NP (NPI 1093470296) is an individual family provider in Columbia, South Carolina, licensed in South Carolina (25540) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Medical University Of South Carolina College Of Medicine (2021).

NPPES Registry Identity

NPI1093470296

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIFFANY BALLINGTONCredential: NP

Location Address7021 SAINT ANDREWS RD STE 1Columbia, SC 29212-1177

Mailing AddressPo Box 6130Spartanburg, SC 29304-6130 · (864) 583-0053 · Fax (864) 583-0147

Phone(864) 260-6995

Fax(864) 884-9909

Sole ProprietorNo

Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2021

Enumeration DateNovember 2, 2021

Last NPPES UpdateMarch 28, 2024

NPPES CertifiedMarch 28, 2024

✔ NPI 1093470296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in SC · 25540

7021 SAINT ANDREWS RD STE 1, Columbia, SC 29212

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Other Identifiers 1

MedicaidNP8468SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Tiffany Ballington Np 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 ID3375920002

PECOS Enrollment IDI20220518000472, I20250121000325

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

169 services73 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

99 services61 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

32 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29212 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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 6

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

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