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TIPHANI JAMES DPM
NPI 1700239332
Podiatrist in Macon, GA

Active since July 19, 2016PECOS EnrolledAccepts Medicare Assignment
74.98/100
CMS Quality Rating
540 CHARTER BLVD STE 300, MACON, GA 31210(478) 295-6381(833) 972-2508 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 11, 2025, Mar 2, 2021 (2 updates tracked since 2021).

About Tiphani James Dpm NPPES

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

TIPHANI JAMES DPM (NPI 1700239332) is an individual podiatrist in Macon, Georgia, licensed in Georgia (POD305051) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Piedmont Macon North Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2016).

NPPES Registry Identity

NPI1700239332
Entity TypeIndividualFemale
Primary Taxonomy213E00000X
Provider Legal NameTIPHANI JAMESCredential: DPM
Location Address540 CHARTER BLVD STE 300Macon, GA 31210-4894
Mailing Address540 Charter Blvd Ste 300Macon, GA 31210-4894 · (478) 295-6381 · Fax (833) 972-2508
Phone(478) 295-6381
Fax(833) 972-2508
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2016
Enumeration DateJuly 19, 2016
Last NPPES UpdateJuly 11, 20252 updates tracked since enumeration
NPPES CertifiedJuly 11, 2025
✔ NPI 1700239332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Licenses✔ Licensed in GA · POD305051✔ Licensed in IL · 135.000930✔ Licensed in IL · 016-005842
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
540 CHARTER BLVD STE 300, Macon, GA 31210
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Other Names 1

Former Name (1)Tiphani Grimes Dpm

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Aspirus Health Plan.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

Tiphani James Dpm 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 ID7315234333
PECOS Enrollment IDI20250519001584
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

3

Medicare enrollment records show Tiphani James reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Village Podiatry Group II, LLC.
76 mi
Foot & Ankle Surgery
2045 PEACHTREE ROAD NE, SUITE 810
Atlanta, GA 30309
  • Reassigned Medicare billing, Georgia enrollment
  • 112 clinicians in this Medicare group
NPI 1427540699 (404) 446-1890
Village Podiatry Group, L.L.C.
90 mi
Podiatrist
1350 UPPER HEMBREE RD STE 100
Roswell, GA 30076
  • Reassigned Medicare billing, Georgia enrollment
  • Medicare enrollment name: Village Podiatry Group LLC
  • 69 clinicians in this Medicare group
NPI 1508846718 (678) 426-2171
Upperline Healthcare, PC
184 mi
Foot & Ankle Surgery
2116 CHAPEL HILL RD
Hoover, AL 35216
  • Reassigned Medicare billing, Georgia enrollment
  • 62 clinicians in this Medicare group
NPI 1538686498 (407) 219-5402

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 5

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
255 services100 patients
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.
148 services83 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
109 services67 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
53 services53 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.98/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.92
Promoting Interoperability78
Improvement Activities40
Cost55.01

Other Providers at the Same Location NPPES

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

VILLAGE PODIATRY GROUP LLC
Podiatrist (Foot Surgery)
540 CHARTER BLVD STE 300
MACON, GA 31210
Bibb County (478) 295-6381

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 Tiphani James's NPI number?

The NPI number for Tiphani James is 1700239332. It was assigned to this individual provider in the NPPES registry on July 19, 2016. The provider is also known as Tiphani Grimes Dpm.

Where is Tiphani James located?

Tiphani James practices at 540 Charter Blvd Ste 300, Macon, GA 31210. The listed phone number is (478) 295-6381.

What is Tiphani James's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Is Tiphani James enrolled in Medicare?

Yes. Tiphani James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tiphani James's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tiphani James reassigns Medicare benefits to 3 organizations: Village Podiatry Group II, LLC. (Atlanta, GA), Village Podiatry Group, L.L.C. (Roswell, GA) and Upperline Healthcare, PC (Hoover, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tiphani James's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tiphani James accept?

Health plans from Alliant Health Plans, Inc. and Aspirus Health Plan list Tiphani James as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tiphani James affiliated with any hospitals?

According to CMS data, Tiphani James is affiliated with Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for Tiphani James was last updated on July 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.