TIFFANY TORRES-GRAHAM FNP
NPI 1417841982
General Practice in Hinesville, GA

Q: What is Tiffany Torres-graham's NPI number?

The NPI number for Tiffany Torres-graham is 1417841982. It was assigned to this individual provider in the NPPES registry on June 7, 2025.

Q: What is Tiffany Torres-graham's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since June 07, 2025PECOS Enrolled

462 ELMA G MILES PKWY, HINESVILLE, GA 31313(912) 369-9412 Get Directions Write a Review

NPPES record last updated: June 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 19, 2025, Jun 7, 2025 (2 updates tracked since 2025).

On this page

About Tiffany Torres-graham Fnp NPPES

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

TIFFANY TORRES-GRAHAM FNP (NPI 1417841982) is an individual general practice provider in Hinesville, Georgia, licensed in Georgia (RN319428) and active in the NPI registry since June 2025. She is enrolled in Medicare PECOS, is affiliated with Liberty Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417841982

Entity TypeIndividualFemale

Primary Taxonomy208D00000X

Provider Legal NameTIFFANY TORRES-GRAHAMCredential: FNP

Location Address462 ELMA G MILES PKWYHinesville, GA 31313-4000

Mailing Address152 Huntington Dr NeLudowici, GA 31316-6786 · (505) 910-3424

Phone(912) 369-9412

Sole ProprietorYes

Medical School CMSOtherGraduated 2025

Enumeration DateJune 7, 2025

Last NPPES UpdateJune 19, 20252 updates tracked since enumeration

NPPES CertifiedJune 19, 2025

✔ NPI 1417841982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in GA · RN319428

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

462 ELMA G MILES PKWY, Hinesville, GA 31313

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Torres-graham Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648778472

PECOS Enrollment IDI20250812000427

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.

Liberty Regional Medical Center

Critical Access Hospitals · Hinesville, GA

OwnershipGovernment - Hospital District or Authority

CMS Certification Number111335

Location462 E G Miles ParkwayHinesville, GA 31310 · Liberty County

Emergency services

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.

DR. NICOLE STACK BROERMAN MD

Pediatrics