KENNETH TIFFANY DO
NPI 1548993199
Emergency Medicine in Jacksonville, AR

Active since July 01, 2022PECOS Enrolled
1400 BRADEN ST, JACKSONVILLE, AR 72076(501) 453-5000 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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.

NPPES Registry Identity

NPI1548993199
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameKENNETH TIFFANYCredential: DO
Location Address1400 BRADEN STJacksonville, AR 72076-3721
Mailing Address2900 Hawkins DrSearcy, AR 72143-4802
Sole ProprietorNo
Enumeration DateJuly 1, 2022
Last NPPES UpdateJanuary 14, 2026
NPPES CertifiedJanuary 14, 2026
NPI 1548993199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in AR · E19814
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1400 BRADEN ST, Jacksonville, AR 72076

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth Tiffany Do 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 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.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

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.

Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Surgery
1400 BRADEN ST, EMERGENCY DEPT
JACKSONVILLE, AR 72076
Family Medicine
1400 BRADEN ST, EMERGENCY DEPT
JACKSONVILLE, AR 72076
Emergency Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Internal Medicine
1400 BRADEN ST
JACKSONVILLE, AR 72076
Family Medicine
1400 BRADEN ST, EMERGENCY DEPT
JACKSONVILLE, AR 72076
Skilled Nursing Facility
1400 BRADEN ST
JACKSONVILLE, AR 72076
Anesthesiology
1400 BRADEN ST
JACKSONVILLE, AR 72076

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548993199, enumerated as an "individual" on July 01, 2022.

The provider is located at 1400 BRADEN ST JACKSONVILLE, AR 72076 and the phone number is (501) 453-5000.

Emergency Medicine with taxonomy code 207P00000X.