TIFFANY RENEE RAINEY (NP-C) – Nurse Practitioner, NPI 1366758138

TIFFANY RENEE RAINEY (NP-C) is a healthcare provider. based in Loganville, Georgia. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. F0710420 (GA). The NPI Number for TIFFANY RENEE RAINEY (NP-C) is 1366758138

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY RENEE RAINEY (NP-C)
NPI
1366758138
Phone
(678) 635-8130
Address
106 BROAD ST
Enumeration Date
31 August 2010
Last Update Date
15 March 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7707609360
Graduation Year
2010 (16 years ago)
PAC ID
1052508132
Group Practice PAC ID
5991783045
Professional Enrollment ID
I20101215000692
Address ID
GA300123819CO1301XNEXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

9,652 NURSE PRACTITIONER in GA

Provider Addresses for TIFFANY RENEE RAINEY (NP-C)

  • 106 BROAD ST

    LOGANVILLE, GA 300527463

    Phone: (678) 635-8130

    Fax: (678) 635-8131

    Type: Mailing

  • 2151 W SPRING ST

    MONROE, GA 306553115

    Phone: (770) 267-1828

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $66.

Total Amount is formed as General ($66) + Research ($0) + Ownership ($0) = $66.

Last reported payment date: 2023-09-26 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($66).

Total Amount

$66

General + Research + Ownership

Payments

1

Total payment records

General Amount

$66

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-12-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-12-31 (890 days ago).

Enrollment records

1

Earliest due date

2023-12-31

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101215000692INurse PractitionerGA2023-12-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2424$0
96372Injection of drug or substance under skin or into muscle1916$0
99203New patient office or other outpatient visit, 30-44 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 30052)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991783045View full group profile
NameSpecialtyState
Physical Medicine And Rehabilitation, Interventional Pain ManagementGA
A N E S T H E S I O L O G YCO
Nurse PractitionerGA
Pain Management, Hospice/Palliative CareFL
Nurse PractitionerGA

Reviews

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Frequently asked questions

What number should I use to identify TIFFANY RENEE RAINEY (NP-C) for billing?
Administrative and clinical systems typically use NPI 1366758138 for TIFFANY RENEE RAINEY (NP-C).
Quick check: is TIFFANY RENEE RAINEY (NP-C) active?
Public NPPES data shows TIFFANY RENEE RAINEY (NP-C) with an active NPI status right now.
What services align with TIFFANY RENEE RAINEY (NP-C)'s listing?
TIFFANY RENEE RAINEY (NP-C)'s public classification highlights Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to TIFFANY RENEE RAINEY (NP-C)?
TIFFANY RENEE RAINEY (NP-C) is associated with Loganville, Georgia in the same public data insurers reference.
Can I export TIFFANY RENEE RAINEY (NP-C)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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