TIFFANY JACKSON FNP-C
NPI 1720334725
Nurse Practitioner - Family in Charlotte, NC

Q: What is Tiffany Jackson's NPI number?

The NPI number for Tiffany Jackson is 1720334725. It was assigned to this individual provider in the NPPES registry on July 27, 2012.

Q: What is Tiffany Jackson'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 Jackson was last updated on April 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since July 27, 2012PECOS Enrolled

7845 LITTLE AVE, CHARLOTTE, NC 28226(704) 375-0100(704) 335-3592 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2025, Mar 24, 2025, Jun 18, 2024 and 3 more (6 updates tracked since 2015).

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About Tiffany Jackson Fnp-c NPPES

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

TIFFANY JACKSON FNP-C (NPI 1720334725) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5010526) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fort Mill.

NPPES Registry Identity

NPI1720334725

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameTIFFANY JACKSONCredential: FNP-C

Location Address7845 LITTLE AVECharlotte, NC 28226-8198

Mailing AddressPo Box 470408Charlotte, NC 28247-0408 · (704) 375-0100 · Fax (704) 335-3592

Phone(704) 375-0100

Fax(704) 335-3592

Sole ProprietorNo

Enumeration DateJuly 27, 2012

Last NPPES UpdateApril 1, 20256 updates tracked since enumeration

NPPES CertifiedApril 1, 2025

✔ NPI 1720334725 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

Licenses✔ Licensed in NC · 5010526✔ Licensed in SC · 21482

7845 LITTLE AVE, Charlotte, NC 28226

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Secondary Practice Location 1

Location 11061 Red Ventures Dr Ste 130Fort Mill, SC 29707-2516 · Phone (704) 375-0100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tiffany Jackson Fnp-c 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 28226 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

ELIZABETH HAYES MD

Internal Medicine (Hospice and Palliative Medicine)