Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205659562 Individual Practitioner Female Practitioner

Tiffany Mike , NP

Nurse Practitioner • Macon, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Tiffany Mike, NP is a certified Nurse Practitioner practicing in Macon, GA. With approximately 3 years of clinical experience since completing medical education in 2023, Tiffany Mike delivers high-quality medical care to the local community at 640 MARTIN LUTHER KING JR BLVD STE 200.

Tiffany Mike maintains professional affiliations with Lifeline Vascular Center - Albany, Llc, Privia Medical Group Of Georgia Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

640 Martin Luther King Jr Blvd Ste 200

Macon, GA 312013297

Telephone 4783341220

Medicare Profile & Education

Medical School

Other

Graduation Year

2023

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Macon, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
3 Yrs -6.1 yrs vs City Avg
City Avg: 9.1 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
148 Specialists

Practicing in Macon, GA (3149 Statewide)

Telehealth Adoption Rate
6.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mike (3 Years) 3 Yrs
Macon Specialty Average (9.1 Years) 9.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2026-02-19
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License GA RN146927

(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.

Nurse Practitioner - Gerontology

NUCC Taxonomy Code: 363LG0600X

State License GA RN146927

Definition to come...

Hospital & Practice Group Affiliations

Privia Medical Group Of Georgia Llc

910 N 5th St, Cordele, GA 310153254

Phone: 2298059770

Lifeline Vascular Center - Albany, Llc

2300 Dawson Rd, Albany, GA 317072804

Phone: 2298886466

Privia Medical Group Of Georgia Llc

101 Yorktown Dr, Fayetteville, GA 302147663

Phone: 7704604285

Privia Medical Group Of Georgia Llc

2300 Dawson Rd, Albany, GA 317072804

Phone: 2294368535

Privia Medical Group Of Georgia Llc

101 Yorktown Dr, Fayetteville, GA 302141578

Secondary Practice Locations

309 Osigian Blvd

Warner Robins, GA 310888953

Phone: 4787455455

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Heather Self , FNP-BC

Nurse Practitioner

NPI 1336611714

Family Nurse Practitioner (Board Certified)

Christopher Chang , NP

Nurse Practitioner

NPI 1457090110

Nurse Practitioner

Dr. Ahmad Kabbani , MD

Internal Medicine - Nephrology

NPI 1528328796

Doctor of Medicine (M.D.)

Karen Hampton , NP-C

Nurse Practitioner - Family

NPI 1588510044

Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 19, 2026

Registered at 640 MARTIN LUTHER KING JR BLVD STE 200, MACON, GA 312013297 (Tel: 4783341220)

📍
Updated Business Mailing Address February 19, 2026

Registered at 640 MARTIN LUTHER KING JR BLVD STE 200, MACON, GA 312013297 (Tel: 4787455455)

NPI Profile Active November 05, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 05, 2024

Registered at 2300 DAWSON RD, ALBANY, GA 317072803 (Tel: 2294368535)

📍
Updated Business Mailing Address November 05, 2024

Registered at 98 PALMETTA RD, TIFTON, GA 317938369 (Tel: 2298483442)

👤
Provider Name / Credentials Updated November 05, 2024

Recorded as TIFFANY MIKE, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 05, 2024

Nurse Practitioner (License #RN146927 in GA)

🟢
Initial NPI Registration & Enumeration November 05, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205659562
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 05, 2024
Last Update: February 19, 2026
Sole Proprietor: No

Mailing Address

640 Martin Luther King Jr Blvd Ste 200

Macon, GA 312013297

Phone: 4787455455

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.