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

Timothy Ryan Tiberia

Individual provider Physician Assistant · NPI 1114518818

Timothy Ryan Tiberia is a Physician Assistant in Indian Trail, North Carolina. Qualified in 2021, 5 years ago. Practices with Medical Faculty Associates, Inc, a 684-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
5
Licensed in
MD
In the registry since
2021

Practice location Address checks out

3039 Glenn Valley Ln Apt 306
Indian Trail, NC 28079-0060
Phone: (313) 910-3726
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence C0008402 (MD)

Record details

NPI number1114518818
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 27, 2021
Last updated in NPPESMay 6, 2022
Certification dateMay 6, 2022
Mailing address3039 Glenn Valley Ln Apt 306, Indian Trail, NC 28079-0060

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Medical Faculty Associates, Inc — 684 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Indian Trail