MS. TIFFANY GARRIS WALL NP-C
NPI 1255763488
Nurse Practitioner in Charleston, SC

Q: What is Tiffany Wall's NPI number?

The NPI number for Tiffany Wall is 1255763488. It was assigned to this individual provider in the NPPES registry on July 30, 2013. The provider is also known as Tiffany K Garris Np.

Q: What is Tiffany Wall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Wall was last updated on January 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 30, 2013PECOS EnrolledAccepts Medicare Assignment

9228 MEDICAL PLAZA DR, CHARLESTON, SC 29406(843) 574-5693(843) 764-4512 Get Directions Write a Review

NPPES record last updated: January 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 18, 2022, Oct 21, 2020, Jun 16, 2017 and 1 more (4 updates tracked since 2017).

On this page

About Ms. Tiffany Garris Wall Np-c NPPES

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

MS. TIFFANY GARRIS WALL NP-C (NPI 1255763488) is an individual nurse practitioner in Charleston, South Carolina, licensed in South Carolina (18412) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, is affiliated with Mcleod Regional Medical Center-pee Dee, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1255763488

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMS. TIFFANY GARRIS WALLCredential: NP-C

Location Address9228 MEDICAL PLAZA DRCharleston, SC 29406-9125

Mailing Address9228 Medical Plaza DrCharleston, SC 29406-9125 · (843) 574-5693 · Fax (843) 764-4512

Phone(843) 574-5693

Fax(843) 764-4512

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 30, 2013

Last NPPES UpdateJanuary 18, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2022

✔ NPI 1255763488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in SC · 18412

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 18412 (SC)

9228 MEDICAL PLAZA DR, Charleston, SC 29406

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Other Names 1

Former Name (1)Tiffany K Garris Np

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Tiffany Garris Wall Np-c 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 ID547492522

PECOS Enrollment IDI20170720003364

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 Reassignments

Medicare enrollment records show Tiffany Wall reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Medical Associates

11 mi

Multi-Specialty

2125 CHARLIE HALL BLVD, SUITE 100
Charleston, SC 29414

Reassigned Medicare billing, South Carolina enrollment
Medicare enrollment name: University Medical Associates Of The Medical University Of South Carol
2,594 clinicians in this Medicare group

NPI 1760413835 (843) 792-1414

Savannah Multispecialty Associates, LLC

88 mi

Trauma Surgery

4700 WATERS AVE STE 400
Savannah, GA 31404

Reassigned Medicare billing, South Carolina enrollment
37 clinicians in this Medicare group

NPI 1528571320 (912) 350-8712

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

Areas of Expertise CMS Part B claims

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.

15 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Mcleod Regional Medical Center-Pee Dee

Acute Care Hospitals · Florence, SC

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420051

Location555 E Cheves St Box 8700Florence, SC 29506 · Florence County

Emergency services Birthing friendly

Beaufort County Memorial Hospital

Acute Care Hospitals · Beaufort, SC

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number420067

Location955 Ribaut RdBeaufort, SC 29902 · Beaufort County

Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC

3/5 CMS rating

OwnershipProprietary

CMS Certification Number420079

Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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 20

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

CHRISTOPHER JASON NGUYEN MD

Radiology (Diagnostic Radiology)