TIFFANY DOUGLAS
NPI 1346912946
Physician Assistant in Charleston, SC

Q: What is Tiffany Douglas's NPI number?

The NPI number for Tiffany Douglas is 1346912946. It was assigned to this individual provider in the NPPES registry on October 1, 2021.

Q: What is Tiffany Douglas'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 Douglas was last updated on February 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 01, 2021PECOS Enrolled

4 CARRIAGE LN STE 200, CHARLESTON, SC 29407(843) 266-7573 Get Directions Write a Review

NPPES record last updated: February 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 7, 2024, Oct 1, 2021 (2 updates tracked since 2021).

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About Tiffany Douglas NPPES

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

TIFFANY DOUGLAS (NPI 1346912946) is an individual physician assistant in Charleston, South Carolina, licensed in South Carolina (PA5278) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346912946

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTIFFANY DOUGLAS

Location Address4 CARRIAGE LN STE 200Charleston, SC 29407-6049

Mailing Address4 Carriage Ln Ste 200Charleston, SC 29407-6049 · (843) 266-7573

Phone(843) 266-7573

Sole ProprietorNo

Enumeration DateOctober 1, 2021

Last NPPES UpdateFebruary 15, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2026

✔ NPI 1346912946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in SC · PA5278

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.

4 CARRIAGE LN STE 200, Charleston, SC 29407

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

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 Douglas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 29407 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 6

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

MYNDSPACE MENTAL HEALTH EDUCATION & CONSULTING, LLC

Nurse Practitioner (Psychiatric/Mental Health)