TIFFANY SAMMONS PETREY AGACNP-BC
NPI 1992313902
Nurse Practitioner in Dublin, GA

Q: What is Tiffany Petrey's NPI number?

The NPI number for Tiffany Petrey is 1992313902. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Q: What is Tiffany Petrey'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 Petrey was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 15, 2020PECOS EnrolledAccepts Medicare Assignment

206 HOSPITAL DR STE A, DUBLIN, GA 31021(478) 275-3525 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 8, 2021, Jul 15, 2020 (2 updates tracked since 2020).

On this page

About Tiffany Sammons Petrey Agacnp-bc NPPES

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

TIFFANY SAMMONS PETREY AGACNP-BC (NPI 1992313902) is an individual nurse practitioner in Dublin, Georgia, licensed in Georgia (RN249240) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Fairview Park Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992313902

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTIFFANY SAMMONS PETREYCredential: AGACNP-BC

Location Address206 HOSPITAL DR STE ADublin, GA 31021-2560

Mailing Address206 Hospital Dr Ste ADublin, GA 31021-2560

Phone(478) 275-3525

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateJuly 15, 2020

Last NPPES UpdateApril 8, 20212 updates tracked since enumeration

NPPES CertifiedApril 8, 2021

✔ NPI 1992313902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in GA · RN249240

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 · Acute CareTaxonomy 363LA2100X · License RN249240 (GA)

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License RN249240 (GA)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License RN249240 (GA)

206 HOSPITAL DR STE A, Dublin, GA 31021

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health 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 Sammons Petrey Agacnp-bc 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 ID5092131052

PECOS Enrollment IDI20200820002715, I20260108002307

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 7

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

424 services339 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

262 services238 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

46 services25 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

19 services17 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Fairview Park Hospital

Acute Care Hospitals · Dublin, GA

5/5 CMS rating

OwnershipProprietary

CMS Certification Number110125

Location200 Industrial BoulevardDublin, GA 31021 · Laurens County

Emergency services Birthing friendly

Medstar Saint Mary's Hospital

Acute Care Hospitals · Leonardtown, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210028

Location25500 Point Lookout RoadLeonardtown, MD 20650 · St. Marys County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31021 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

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

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 5

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

MRS. ELISE SHAWNELLE ROTRAMEL NP-C

Nurse Practitioner (Family)