Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Tiffany Mike, NP

Individual provider Gerontology Nurse Practitioner · NPI 1205659562

MS. Tiffany Mike, NP is a Nurse Practitioner in Macon, Georgia. Qualified in 2023, 3 years ago. Practices with Privia Medical Group of Georgia LLC, a 450-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2024
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

640 Martin Luther King Jr Blvd Ste 200
Macon, GA 31201-3297
Phone: (478) 334-1220
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 309 Osigian Blvd, Warner Robins, GA 31088-8953 — (478) 745-5455

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN146927 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN146927 (GA)

Record details

NPI number1205659562
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedNovember 5, 2024
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Privia Medical Group Of Georgia Llc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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