Active NPIIndividual providerSole proprietor

Mrs. Tiffany S Owens, MD

Anesthesiology in Charlotte, North Carolina

NPI Number1104020817
Practice location
3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866
Fax
704-626-3237
Last updated
August 26, 2025

Tiffany S Owens is an Anesthesiology based in Charlotte, NC. Tiffany S Owens practices in Charlotte, NC and has the professional credentials of MD. The NPI Number for Tiffany S Owens is 1104020817 and holds a License No. 79988 (CT). The current practice location address for Tiffany S Owens is 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866 and can be reached out via phone at 704-749-5800 and via fax at 704-626-3237.

Provider Profile Details

NPI Number
1104020817
Provider Name
Tiffany S Owens
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866
Phone Number
704-749-5800
Fax Number
704-626-3237
Primary Taxonomy
Anesthesiology · 207L00000X
Sole Proprietor
Yes
Other Names
Mrs. Tiffany S Owens-Pegues, MD (Other Name)
Provider Enumeration Date
June 14, 2007
Last Update Date
August 26, 2025
Certification Date
August 26, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
3735 Glenlake Dr Ste 250
Charlotte, NC 28208-6866
Zip
28208-6866
Phone Number
704-749-5800
Fax Number
704-626-3237
Charlotte, NC 28208Get directions →

Provider Business Mailing Address Details

Address
585 Main St Ste 145
Laurel, MD 20707-4354
City
Laurel
State
MD
Zip
20707-4354
Phone Number
301-298-8267
Fax Number
301-517-9386

License Information

License Number (1)
79988
License State (1)
CT
Taxonomy (1)
Anesthesiology · 207L00000X
License Number (2)
2019-02715
License State (2)
NC
Taxonomy (2)
Anesthesiology · 207L00000X
License Number (3)
21797
License State (3)
MD
Taxonomy (3)
Anesthesiology · 207L00000X
License Number (4)
ME171870
License State (4)
FL
Taxonomy (4)
Anesthesiology · 207L00000X
License Number (5)
V5202
License State (5)
TX
Taxonomy (5)
Anesthesiology · 207L00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Tiffany S Owens, MD?

The NPI number of Mrs. Tiffany S Owens, MD is 1104020817. It was assigned on June 14, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tiffany S Owens, MD?

Mrs. Tiffany S Owens, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in CT under license number 79988.

Where does Mrs. Tiffany S Owens, MD practice?

The practice location is 3735 Glenlake Dr Ste 250, Charlotte, NC 28208-6866. The office can be reached at 704-749-5800 (phone) or 704-626-3237 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104020817 directly on the NPPES registry website.

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