TIFFANY COX ROMANELLO (PA-C) – Dermatology Physician, NPI 1689088940

TIFFANY COX ROMANELLO (PA-C) is a healthcare provider. based in Peachtree city, Georgia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 9618 (GA). The NPI Number for TIFFANY COX ROMANELLO (PA-C) is 1689088940

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY COX ROMANELLO (PA-C)
NPI
1689088940
Phone
(770) 676-3376
Address
112 WILSHIRE VILLAGE DR
Enumeration Date
16 June 2014
Last Update Date
8 April 2026

Doctor Profile

Medical School Name
WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7705208561
Graduation Year
2014 (12 years ago)
PAC ID
3971724048
Group Practice PAC ID
1456397660
Professional Enrollment ID
I20200520001015
Address ID
GA302652434NE354XXBYPX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:11State licenses:3Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in GA

Provider Addresses for TIFFANY COX ROMANELLO (PA-C)

  • 112 WILSHIRE VILLAGE DR

    PEACHTREE CITY, GA 302693138

    Phone: (770) 676-3376

    Type: Mailing

  • 109 PROFESSIONAL PL

    CARROLLTON, GA 301173862

    Phone: (704) 989-0114

    Type: Mailing

  • 601 Dixie St

    Carrollton, GA 301173816

    Phone: (770) 838-9333

    Type: Location

  • 354 Newnan Crossing Byp

    Newnan, GA 302652323

    Phone: (770) 520-8561

    Type: Location

  • 2450 HOLCOMBE BLVD

    STE NB-34L

    HOUSTON, TX 770212039

    Phone: (832) 828-3660

    Type: Mailing

  • 6701 FANNIN ST

    HOUSTON, TX 770302608

    Phone: (832) 824-1000

    Type: Location

  • 109 Professional Pl

    Carrollton, GA 301173862

    Phone: (770) 838-9333

    Type: Location

  • 354 NEWNAN CROSSING BYP

    NEWNAN, GA 302652323

    Phone: (770) 520-8561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 28 Open Payments records for all available years, with a total value of $804.

Total Amount is formed as General ($804) + Research ($0) + Ownership ($0) = $804.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($172).

Total Amount

$804

General + Research + Ownership

Payments

28

Total payment records

General Amount

$804

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

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: 2020-05-20

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
I20200520001015IPhysician 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 30269)

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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: 1456397660View full group profile
NameSpecialtyState
D E R M A T O L O G YGA
Physician AssistantGA
Physician AssistantGA
D E R M A T O L O G YLA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA
D E R M A T O L O G YGA
Physician AssistantGA
D E R M A T O L O G YGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for TIFFANY COX ROMANELLO (PA-C)?
TIFFANY COX ROMANELLO (PA-C) — NPI 1689088940 — is the standard way to identify this listing.
Is TIFFANY COX ROMANELLO (PA-C) still practicing?
TIFFANY COX ROMANELLO (PA-C) is currently listed as active in the public NPI registry.
What is TIFFANY COX ROMANELLO (PA-C)'s specialty?
The listing groups TIFFANY COX ROMANELLO (PA-C) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does TIFFANY COX ROMANELLO (PA-C) list a practice location?
Patients near Peachtree City, Georgia may find TIFFANY COX ROMANELLO (PA-C) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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