TIFFANY N REID PA
NPI 1710265053
Physician Assistant - Surgical in Georgetown, SC

Q: What is Tiffany Reid's NPI number?

The NPI number for Tiffany Reid is 1710265053. It was assigned to this individual provider in the NPPES registry on August 3, 2011.

Q: What is Tiffany Reid's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Reid was last updated on November 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 03, 2011PECOS EnrolledAccepts Medicare Assignment

81.9/100

CMS Quality Rating

606 BLACK RIVER RD STE 300, GEORGETOWN, SC 29440(843) 527-4343(843) 546-8308 Get Directions Write a Review

NPPES record last updated: November 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2025, Apr 2, 2025 (2 updates tracked since 2025).

On this page

About Tiffany N Reid Pa NPPES

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

TIFFANY N REID PA (NPI 1710265053) is an individual surgical provider in Georgetown, South Carolina, licensed in Kentucky (PA1644) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Tidelands Waccamaw Community Hospital, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1710265053

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameTIFFANY N REIDCredential: PA

Location Address606 BLACK RIVER RD STE 300Georgetown, SC 29440-3304

Mailing AddressPo Box 421718Georgetown, SC 29442-4203 · (843) 527-7000

Phone(843) 527-4343

Fax(843) 546-8308

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateAugust 3, 2011

Last NPPES UpdateNovember 7, 20252 updates tracked since enumeration

NPPES CertifiedNovember 7, 2025

✔ NPI 1710265053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in KY · PA1644✔ Licensed in KY · TC024✔ Licensed in IN · 10001296A

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10001296A (IN)

606 BLACK RIVER RD STE 300, Georgetown, SC 29440

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Secondary Practice Locations 5

Location 13515 Caduceus Dr Ste BMyrtle Beach, SC 29588-2922 · Phone (843) 651-5689 · Fax (843) 294-0062

Location 23515 Caduceus Dr Ste DMyrtle Beach, SC 29588-2922 · Phone (843) 651-5689 · Fax (843) 294-0062

Location 34320 Holmestown RdMyrtle Beach, SC 29588-7837 · Phone (843) 546-3132 · Fax (843) 546-2268

Location 43 Audubon Plaza Dr, Ste. 560Louisville, KY 40217-1300 · Phone (502) 636-8004

Location 54017 Highway 17 Ste 100Murrells Inlet, SC 29576-5032 · Phone (843) 651-6525 · Fax (843) 357-0768

Other Identifiers 1

OtherK021770KY · Medicare Ptan- Norton Cts

Accepted Insurance

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

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 N Reid Pa 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 ID1557531381

PECOS Enrollment IDI20221214002804

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.

Areas of Expertise CMS Part B claims 6

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.

Repair of herniated rectum into vaginal wall 57250

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

28 services28 patients

Surgical repair of vaginal defect using an endoscope 57425

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

27 services27 patients

Repair of vaginal wall defect through vagina 57285

This procedure involves the correction of an issue with the internal structure of the lower female reproductive system. It's done through the natural opening, reducing potential discomfort and recovery time. It's often performed to improve quality of life.

22 services22 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

21 services21 patients

Repair of vaginal defect using an endoscope 57423

This procedure involves the use of a special instrument called an endoscope to correct an issue within the pelvic region. It's a minimally invasive method, meaning it requires small incisions, reducing recovery time and discomfort.

21 services21 patients

Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less 58542

This is a minimally invasive procedure where a small device (endoscope) is used to remove part of the uterus and/or related structures, while leaving the cervix intact. The procedure is performed on a uterus weighing 250.0 g or less.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Tidelands Waccamaw Community Hospital

Acute Care Hospitals · Murrells Inlet, SC

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number420098

Location4070 Hwy 17Murrells Inlet, SC 29576 · Horry County

Emergency services Birthing friendly

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.

81.9/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.76

Promoting Interoperability

Improvement Activities

Cost

61.73

Other Providers at the Same Location NPPES 14

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

VICTORIA LYNN KININGHAM CNM

Advanced Practice Midwife