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MRS. TIFFANY KAITLIN GOBER PA
NPI 1619652864
Physician Assistant - Medical in Jacksonville, FL

Active since June 15, 2023PECOS Enrolled
6675 CORPORATE CENTER PKWY STE 115, JACKSONVILLE, FL 32216(904) 245-8910 Get Directions Write a Review

NPPES record last updated: June 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Tiffany Kaitlin Gober Pa NPPES

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

MRS. TIFFANY KAITLIN GOBER PA (NPI 1619652864) is an individual medical provider in Jacksonville, Florida and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619652864
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. TIFFANY KAITLIN GOBERCredential: PA
Location Address6675 CORPORATE CENTER PKWY STE 115Jacksonville, FL 32216-8088
Mailing Address7856 Meadow Walk LnJacksonville, FL 32256-8070 · (904) 742-6155
Phone(904) 245-8910
Sole ProprietorNo
Enumeration DateJune 15, 2023
NPPES CertifiedJune 15, 2023
✔ NPI 1619652864 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
6675 CORPORATE CENTER PKWY STE 115, Jacksonville, FL 32216
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Other Names 1

Former Name (1)Tiffany Kaitlin Acosta

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tiffany Kaitlin Gober Pa 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.

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.

AVERY OGLE
Student in an Organized Health Care Education/Training Program
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Duval County (904) 245-8910
MORGAN HATHAWAY
Student in an Organized Health Care Education/Training Program
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Duval County (904) 245-8910
JEFFERSON RODRIGUES DE SOUZA PA-C
Physician Assistant
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Duval County (904) 245-8910
NICHOLAS A OLGEE PA-C
Physician Assistant (Medical)
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Duval County (904) 245-8910
NHI PHAM
Student in an Organized Health Care Education/Training Program
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Duval County (904) 245-8910
HALEY ELIZABETH ANDERSON PA-C, ATC
Physician Assistant
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Duval County (609) 709-3691
CRAIG SHERWOOD
Anesthesiologist Assistant
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Duval County (904) 245-8910
MICHAEL WILLIAMSON
Physician Assistant
6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
Duval County (904) 245-8910

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 Gober's NPI number?

The NPI number for Tiffany Gober is 1619652864. It was assigned to this individual provider in the NPPES registry on June 15, 2023. The provider is also known as Tiffany Kaitlin Acosta.

Where is Tiffany Gober located?

Tiffany Gober practices at 6675 Corporate Center Pkwy Ste 115, Jacksonville, FL 32216. The listed phone number is (904) 245-8910.

What is Tiffany Gober's specialty?

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

Is Tiffany Gober enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Tiffany Gober was last updated on June 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.