TIFFANY DANIELLE HOLT
NPI 1104488626
Nurse Practitioner - Family in Pearisburg, VA

Q: What is Tiffany Holt's NPI number?

The NPI number for Tiffany Holt is 1104488626. It was assigned to this individual provider in the NPPES registry on July 4, 2019.

Q: What is Tiffany Holt's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Holt was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 04, 2019PECOS EnrolledAccepts Medicare Assignment

430 BOXWOOD LN, PEARISBURG, VA 24134(540) 921-6110(540) 921-3796 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 27, 2023, Mar 10, 2021, Jul 4, 2019 (3 updates tracked since 2019).

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About Tiffany Danielle Holt NPPES

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

TIFFANY DANIELLE HOLT (NPI 1104488626) is an individual family provider in Pearisburg, Virginia, licensed in Virginia (0024187638) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS, is affiliated with Carilion Giles Community Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104488626

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIFFANY DANIELLE HOLT

Location Address430 BOXWOOD LNPearisburg, VA 24134-1168

Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713

Phone(540) 921-6110

Fax(540) 921-3796

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJuly 4, 2019

Last NPPES UpdateJuly 27, 20233 updates tracked since enumeration

NPPES CertifiedJuly 27, 2023

✔ NPI 1104488626 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

Licenses✔ Licensed in VA · 0024187638✔ Licensed in TN · 26026

430 BOXWOOD LN, Pearisburg, VA 24134

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Secondary Practice Locations 2

Location 13601 The Vanderbilt ClinicNashville, TN 37232-6503 · Phone (615) 322-3000

Location 21276 Gilbreath DrJohnson City, TN 37614-6503 · Phone (423) 439-1000

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 Danielle Holt 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 ID9032525381

PECOS Enrollment IDI20230815002657

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.

Carilion Giles Community Hospital

Critical Access Hospitals · Pearisburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491302

Location159 Hartley WayPearisburg, VA 24134 · Giles County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24134 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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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.

MS. BRITTANY TAYLOR DAVIDSON PA-C

Physician Assistant