TIFFANY JOY DAVIS (PA-C) – Physician Assistant, NPI 1225570419

TIFFANY JOY DAVIS (PA-C) is a healthcare provider. based in Jacksonville, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 2000014792 (SC). The NPI Number for TIFFANY JOY DAVIS (PA-C) is 1225570419

Main info

Female
3 Years Of Experience
Name
TIFFANY JOY DAVIS (PA-C)
NPI
1225570419
Phone
(904) 634-0640
Address
2627 Riverside Ave Ste 300
Enumeration Date
6 November 2016
Last Update Date
28 July 2025

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
-
Graduation Year
2023 (3 years ago)
PAC ID
4385090042
Group Practice PAC ID
3678604840
Professional Enrollment ID
I20231101000728
Address ID
FL326661099MePOXXXBOXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:9State licenses:2Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for TIFFANY JOY DAVIS (PA-C)

  • 2627 Riverside Ave Ste 300

    Jacksonville, FL 322044717

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 2 Shircliff Way Ste 605

    Jacksonville, FL 322044762

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • Claflin University, 400, Magnolia Street, Orangeburg, Orangeburg County, South Carolina, 29115, United States

    ORANGEBURG, SC 291156815

    Phone: (803) 535-5726

    Type: Mailing

  • 1690 US Highway 1 S Ste F

    St Augustine, FL 320846024

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 216 Southpark Cir E Ste 216

    St Augustine, FL 320865135

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 15255 Max Legget Pkwy Ste 5300

    Jacksonville, FL 322187274

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 3055 County Road 210 W Ste 110

    St Johns, FL 322597001

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 10475 Centurion Pkwy N Ste 305

    Jacksonville, FL 322565004

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 10475 Centurion Pkwy N Ste 220

    Jacksonville, FL 322565004

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 232 Ponte Vedra Park Dr

    Ponte Vedra Beach, FL 320826600

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 4565 US Highway 17 Ste 200

    Fleming Island, FL 320034823

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

  • 6800 SOUTHPOINT PKWY STE 300

    JACKSONVILLE, FL 322168203

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Mailing

  • 2300 PARK AVE STE 206

    ORANGE PARK, FL 320735573

    Phone: (904) 634-0640

    Fax: (904) 634-0203

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $229.

Total Amount is formed as General ($229) + Research ($0) + Ownership ($0) = $229.

Last reported payment date: 2024-11-08 • Largest payer in this snapshot: Stryker Corporation ($229).

Total Amount

$229

General + Research + Ownership

Payments

3

Total payment records

General Amount

$229

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Stryker Corporation$229
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: 2023-11-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
I20231101000728IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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
73562X-ray of knee, 3 views2424$0
View full utilization report →

Insurance plans in this area (ZIP 32204)

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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: 3678604840View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeFL
Orthopedic SurgeryFL
R H E U M A T O L O G YFL
Physician AssistantFL
Nurse PractitionerFL
Physician AssistantFL
Orthopedic SurgeryFL
Nurse PractitionerFL
Orthopedic Surgery, Sports MedicineFL
Nurse PractitionerRI

Reviews

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Frequently asked questions

What federal number belongs to TIFFANY JOY DAVIS (PA-C)?
The federal identifier for TIFFANY JOY DAVIS (PA-C) is NPI 1225570419.
Is TIFFANY JOY DAVIS (PA-C) currently active in the NPI registry?
CMS-published data lists TIFFANY JOY DAVIS (PA-C) as an active registrant.
Does TIFFANY JOY DAVIS (PA-C) list a primary specialty?
If you are matching referrals, note Physician Assistant for TIFFANY JOY DAVIS (PA-C). Clinical services aligned with this taxonomy classification.
What location metadata exists for TIFFANY JOY DAVIS (PA-C)?
The page summarizes Jacksonville, Florida for TIFFANY JOY DAVIS (PA-C); expand the address list for detail.
Is TIFFANY JOY DAVIS (PA-C) a real provider?
This page reflects official NPPES data for NPI 1225570419. Always confirm identity and privileges with the practice and licensing boards.

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