KENNETH TIFFANY DO
NPI 1548993199
Emergency Medicine in Jacksonville, AR
About Kenneth Tiffany Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH TIFFANY DO (NPI 1548993199) is an individual emergency medicine provider in Jacksonville, Arkansas, licensed in Arkansas (E19814) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
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
Kenneth Tiffany Do 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 72076 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JACKSONVILLE, AR 72076
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 Kenneth Tiffany's NPI number?
The NPI number for Kenneth Tiffany is 1548993199. It was assigned to this individual provider in the NPPES registry on July 1, 2022.
Where is Kenneth Tiffany located?
Kenneth Tiffany practices at 1400 Braden St, Jacksonville, AR 72076. The listed phone number is (501) 453-5000.
What is Kenneth Tiffany's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kenneth Tiffany enrolled in Medicare?
Yes. Kenneth Tiffany 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 Kenneth Tiffany was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kenneth Tiffany, DO · NPI 1548993199
Emergency Medicine physician in Jacksonville, Arkansas. Individual provider, active in the CMS NPPES registry since July 1, 2022.
## Identity
- **NPI:** 1548993199 (Entity type: Individual)
- **Enumerated:** July 1, 2022
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** E19814 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1400 BRADEN ST, Jacksonville, AR 72076-3721
- **Phone:** (501) 453-5000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** January 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1548993199) · Data from the CMS NPPES public registry.