TIFFANY M MATTOX-RUBIN RN
NPI 1700373115
Nurse Practitioner - Psychiatric/Mental Health in Olive Branch, MS

Active since April 20, 2018PECOS EnrolledAccepts Medicare Assignment
4985 FOREST HILL RD S, OLIVE BRANCH, MS 38654(901) 282-5531 Get Directions Write a Review

NPPES record last updated: October 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 9, 2022, Apr 20, 2018 (2 updates tracked since 2018).

About Tiffany M Mattox-rubin Rn NPPES

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

TIFFANY M MATTOX-RUBIN RN (NPI 1700373115) is an individual psychiatric/mental health provider in Olive Branch, Mississippi, licensed in Tennessee (30562) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Southaven, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700373115
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameTIFFANY M MATTOX-RUBINCredential: RN
Location Address4985 FOREST HILL RD SOlive Branch, MS 38654-6008
Mailing Address4985 Forest Hill Rd SOlive Branch, MS 38654-6008 · (901) 282-5531
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 20, 2018
Last NPPES UpdateOctober 29, 20252 updates tracked since enumeration
NPPES CertifiedOctober 29, 2025
NPI 1700373115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in TN · 30562 Licensed in CA · 95022775 Licensed in MS · 904963
4985 FOREST HILL RD S, Olive Branch, MS 38654

Secondary Practice Location 1

Location 15699 Getwell RdSouthaven, MS 38672-7312 · Phone (662) 205-0098

Accepted Insurance

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

Tiffany M Mattox-rubin Rn 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.

PECOS PAC ID5890165302
PECOS Enrollment IDI20260223001010
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 38654 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
4985 FOREST HILL RD S
OLIVE BRANCH, MS 38654

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 Mattox-rubin's NPI number?

The NPI number for Tiffany Mattox-rubin is 1700373115. It was assigned to this individual provider in the NPPES registry on April 20, 2018.

Where is Tiffany Mattox-rubin located?

Tiffany Mattox-rubin practices at 4985 Forest Hill Rd S, Olive Branch, MS 38654. The listed phone number is (901) 282-5531.

What is Tiffany Mattox-rubin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Tiffany Mattox-rubin enrolled in Medicare?

Yes. Tiffany Mattox-rubin 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.

What insurance does Tiffany Mattox-rubin accept?

Health plans from Oscar Health Plan, Inc., Oscar Insurance Company, Providence Health Plan and UnitedHealthcare list Tiffany Mattox-rubin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tiffany Mattox-rubin was last updated on October 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.