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TIFFANY EVERTS PA
NPI 1376492645
Physician Assistant - Medical in Port Orange, FL

Active since January 28, 2026PECOS EnrolledAccepts Medicare Assignment
3951 S NOVA RD, PORT ORANGE, FL 32127(386) 256-1444(321) 400-1118 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tiffany Everts Pa NPPES

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

TIFFANY EVERTS PA (NPI 1376492645) is an individual medical provider in Port Orange, Florida, licensed in Florida (PA9121039) and active in the NPI registry since January 2026. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1376492645
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameTIFFANY EVERTSCredential: PA
Location Address3951 S NOVA RDPort Orange, FL 32127-9270
Mailing Address1112 E Washington AvePierson, FL 32180-2309 · (863) 256-1444 · Fax (321) 400-1118
Phone(386) 256-1444
Fax(321) 400-1118
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJanuary 28, 2026
NPPES CertifiedJanuary 28, 2026
✔ NPI 1376492645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA9121039
3951 S NOVA RD, Port Orange, FL 32127
Open in Google Maps ↗

Secondary Practice Locations 4

Location 157 Town Ct Ste 119Palm Coast, FL 32164-2425 · Phone (386) 256-1444 ext. 505 · Fax (321) 400-1118
Location 21840 GREENWICH AVEWINTER PARK, FL 32789-4012 · Phone (386) 256-1444 ext. 505 · Fax (321) 400-1118
Location 32672 Lpga BlvdDaytona Beach, FL 32124-1008 · Phone (386) 256-1444 ext. 505 · Fax (321) 400-1118
Location 4105 N DUSS STNEW SMYRNA, FL 32168-6971 · Phone (386) 256-1444 ext. 505 · Fax (321) 400-1118

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tiffany Everts Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123509429
PECOS Enrollment IDI20260225001321
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.

Other Providers at the Same Location NPPES 7

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

RALPH J ZWOLINSKI M D INC
Physician Assistant (Medical)
3951 S NOVA RD
PORT ORANGE, FL 32127
Volusia County (386) 763-4484
SARA REBECCA CORWIN FNP-C
Nurse Practitioner (Family)
3951 S NOVA RD
PORT ORANGE, FL 32127
Volusia County (386) 256-1444
AMERICA SEACH
Dermatology
3951 S NOVA RD
PORT ORANGE, FL 32127
Volusia County (386) 256-1444
JASON L WELCH NP
Nurse Practitioner
3951 S NOVA RD, SUITE 3
PORT ORANGE, FL 32127
Volusia County (386) 256-1444
DERMATOLOGY ON THE SPOT, LLC
Dermatology
3951 S NOVA RD, SUITE 3
PORT ORANGE, FL 32127
Volusia County (386) 256-1444
NITRA HOBBS WELCH ARNP
Nurse Practitioner
3951 S NOVA RD, SUITE 3
PORT ORANGE, FL 32127
Volusia County (386) 256-1444
BLUE OCEAN DERMATOLOGY LLC
Dermatology
3951 S NOVA RD, SUITE 3
PORT ORANGE, FL 32127
Volusia County (386) 256-1444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tiffany Everts's NPI number?

The NPI number for Tiffany Everts is 1376492645. It was assigned to this individual provider in the NPPES registry on January 28, 2026.

Where is Tiffany Everts located?

Tiffany Everts practices at 3951 S Nova Rd, Port Orange, FL 32127. The listed phone number is (386) 256-1444.

What is Tiffany Everts's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Tiffany Everts enrolled in Medicare?

Yes. Tiffany Everts is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tiffany Everts was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.