1. Home
  2. Directory
  3. Georgia
  4. Fairburn
  5. Nurse Practitioner
  6. NPI Profile

TIFFANY DICKERSON NP
NPI 1417789587
Nurse Practitioner - Family in Fairburn, GA

Active since August 16, 2024PECOS Enrolled
4121 OAKHURST DR, FAIRBURN, GA 30213(404) 552-0647 Get Directions Write a Review

NPPES record last updated: August 16, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tiffany Dickerson Np NPPES

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

TIFFANY DICKERSON NP (NPI 1417789587) is an individual family provider in Fairburn, Georgia, licensed in Georgia (RN213105) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417789587
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTIFFANY DICKERSONCredential: NP
Location Address4121 OAKHURST DRFairburn, GA 30213-6537
Mailing Address4121 Oakhurst DrFairburn, GA 30213-6537 · (404) 552-0647
Phone(404) 552-0647
Sole ProprietorYes
Enumeration DateAugust 16, 2024
NPPES CertifiedAugust 16, 2024
✔ NPI 1417789587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN213105
4121 OAKHURST DR, Fairburn, GA 30213
Open in Google Maps ↗

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 Dickerson Np 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 30213 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dickerson's NPI number?

The NPI number for Tiffany Dickerson is 1417789587. It was assigned to this individual provider in the NPPES registry on August 16, 2024.

Where is Tiffany Dickerson located?

Tiffany Dickerson practices at 4121 Oakhurst Dr, Fairburn, GA 30213. The listed phone number is (404) 552-0647.

What is Tiffany Dickerson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiffany Dickerson enrolled in Medicare?

Yes. Tiffany Dickerson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tiffany Dickerson was last updated on August 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.