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TIFFANY ARIEL GRAVES
NPI 1174140784
Student in an Organized Health Care Education/Training Program in Augusta, GA

Active since June 30, 2020Opted out of Medicare · through Jun 4, 2027
1 FREEDOM WAY, AUGUSTA, GA 30904(706) 733-0188 Get Directions Write a Review

NPPES record last updated: June 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Ariel Graves NPPES

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

TIFFANY ARIEL GRAVES (NPI 1174140784) is an individual student in an organized health care education/training program in Augusta, Georgia and active in the NPI registry since June 2020. She has opted out of Medicare through June 4, 2027.

NPPES Registry Identity

NPI1174140784
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIFFANY ARIEL GRAVES
Location Address1 FREEDOM WAYAugusta, GA 30904-6258
Mailing Address2027 Reserve LnAugusta, GA 30907-6213 · (903) 746-3256
Phone(706) 733-0188
Sole ProprietorNo
Enumeration DateJune 30, 2020
NPPES CertifiedJune 30, 2020
✔ NPI 1174140784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 FREEDOM WAY, Augusta, GA 30904
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Tiffany Ariel Graves has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 4, 2025 through June 4, 2027.

Opt-Out Effective DateJune 4, 2025
Opt-Out In Effect ThroughJune 4, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

MRS. JOANN MCNAIR RPH
Pharmacist
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
MS. LISA MIXON JONES R.N.
Registered Nurse
1 FREEDOM WAY, # 31
AUGUSTA, GA 30904
Richmond County (706) 733-0188
MRS. DEBRA SERENDA JONES LMSW
Social Worker
1 FREEDOM WAY, UPTOWN DIVISION/CHARLIE NORWWOOD VA
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. SONYA YVETTE MEDINA PH.D.
Psychologist (Clinical)
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. PANKAJKUMAR NARAYANBHAI THAKKAR M.D.
Physical Medicine & Rehabilitation
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
DR. EDWARD KURT LEAHY
Anesthesiology
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
AMANDA PETRO MSR, OTR/L
Occupational Therapist
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188
AMIE ELIZABETH SQUIRES MD
Ophthalmology
1 FREEDOM WAY
AUGUSTA, GA 30904
Richmond County (706) 733-0188

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 Graves's NPI number?

The NPI number for Tiffany Graves is 1174140784. It was assigned to this individual provider in the NPPES registry on June 30, 2020.

Where is Tiffany Graves located?

Tiffany Graves practices at 1 Freedom Way, Augusta, GA 30904. The listed phone number is (706) 733-0188.

What is Tiffany Graves's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tiffany Graves enrolled in Medicare?

No. Tiffany Graves has opted out of Medicare through June 4, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Tiffany Graves was last updated on June 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.