TIFFANY EDMONSON PA-C
NPI 1205698941
Physician Assistant in Hazard, KY

Q: What is Tiffany Edmonson's NPI number?

The NPI number for Tiffany Edmonson is 1205698941. It was assigned to this individual provider in the NPPES registry on January 29, 2024.

Q: What is Tiffany Edmonson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Tiffany Edmonson was last updated on August 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 29, 2024PECOS Enrolled

100 MEDICAL CENTER DR, HAZARD, KY 41701(606) 706-2611 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tiffany Edmonson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIFFANY EDMONSON PA-C (NPI 1205698941) is an individual physician assistant in Hazard, Kentucky and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1205698941

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTIFFANY EDMONSONCredential: PA-C

Location Address100 MEDICAL CENTER DRHazard, KY 41701-9421

Mailing Address7050 Brookhollow West Dr # 406666Houston, TX 77240-0895 · (606) 706-2611

Phone(606) 706-2611

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 29, 2024

Last NPPES UpdateAugust 28, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1205698941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

100 MEDICAL CENTER DR, Hazard, KY 41701

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Edmonson Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527554591

PECOS Enrollment IDI20251229002776

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DUSTIN JOHNSON CPHT

Pharmacy Technician