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

Q: 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.

Q: What is Tiffany Dickerson's specialty?

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

Q: 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.

Active since August 16, 2024

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: August 23, 2026.

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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.

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

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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.

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.