CHRISTINA ADELAIDE TIPTON (PA) – Physician Assistant, NPI 1356170625

CHRISTINA ADELAIDE TIPTON (PA) is a healthcare provider. based in Panama city, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 12720 (GA). The NPI Number for CHRISTINA ADELAIDE TIPTON (PA) is 1356170625

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
CHRISTINA ADELAIDE TIPTON (PA)
NPI
1356170625
Phone
(850) 233-3376
Address
2505 HARRISON AVE
Enumeration Date
26 July 2024
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8772313376
Graduation Year
2024 (2 years ago)
PAC ID
1951838077
Group Practice PAC ID
5799770624
Professional Enrollment ID
I20241231000664
Address ID
GA302405903LA1605XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for CHRISTINA ADELAIDE TIPTON (PA)

  • 2505 HARRISON AVE

    PANAMA CITY, FL 324054464

    Phone: (850) 233-3376

    Fax: (850) 522-8354

    Type: Mailing

  • 1050 THOMAS AVE

    WATKINSVILLE, GA 306776071

    Phone: (877) 231-3376

    Fax: (850) 522-8354

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-12-31

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
I20241231000664IPhysician AssistantGATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32405)

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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: 5799770624View full group profile
NameSpecialtyState
Nurse PractitionerFL
-GA
-GA
D E R M A T O L O G YGA
Nurse PractitionerFL
Nurse PractitionerGA
D E R M A T O L O G YFL
Dermatology, Micrographic Dermatologic Surgery (Mds)FL
Nurse PractitionerGA
D E R M A T O L O G YMA

Reviews

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Frequently asked questions

What federal number belongs to CHRISTINA ADELAIDE TIPTON (PA)?
The federal identifier for CHRISTINA ADELAIDE TIPTON (PA) is NPI 1356170625.
Is CHRISTINA ADELAIDE TIPTON (PA) active in the national directory?
CHRISTINA ADELAIDE TIPTON (PA)'s public NPI profile is in an active state.
What kind of provider is CHRISTINA ADELAIDE TIPTON (PA)?
The page reflects Physician Assistant for CHRISTINA ADELAIDE TIPTON (PA). Clinical services aligned with this taxonomy classification.
What location metadata exists for CHRISTINA ADELAIDE TIPTON (PA)?
The page summarizes Panama City, Florida for CHRISTINA ADELAIDE TIPTON (PA); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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