MRS. TIFFANY EDWARDS KEITH MHS, PA-C
NPI 1720441355
Physician Assistant - Medical in Laurel, MS

Q: What is Tiffany Keith's NPI number?

The NPI number for Tiffany Keith is 1720441355. It was assigned to this individual provider in the NPPES registry on March 31, 2016. The provider is also known as Miss Tiffany Brooke Edwards.

Q: What is Tiffany Keith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tiffany Keith was last updated on November 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since March 31, 2016PECOS EnrolledAccepts Medicare Assignment

1220 JEFFERSON ST, LAUREL, MS 39440(601) 426-4000(601) 426-4105 Get Directions Write a Review

NPPES record last updated: November 5, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 5, 2018, Jun 21, 2016, Mar 31, 2016 (3 updates tracked since 2016).

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About Mrs. Tiffany Edwards Keith Mhs, Pa-c NPPES

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

MRS. TIFFANY EDWARDS KEITH MHS, PA-C (NPI 1720441355) is an individual medical provider in Laurel, Mississippi, licensed in Mississippi (PA00374) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with South Central Reg Med Ctr, and maintains a secondary practice location in Williamsport.

NPPES Registry Identity

NPI1720441355

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameMRS. TIFFANY EDWARDS KEITHCredential: MHS, PA-C

Location Address1220 JEFFERSON STLaurel, MS 39440-4355

Mailing AddressPo Box 247Laurel, MS 39441-0247 · (601) 399-6169

Phone(601) 426-4000

Fax(601) 426-4105

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 31, 2016

Last NPPES UpdateNovember 5, 20183 updates tracked since enumeration

✔ NPI 1720441355 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

Licenses✔ Licensed in MS · PA00374✔ Licensed in PA · MA058228

1220 JEFFERSON ST, Laurel, MS 39440

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Other Names 1

Former Name (1)Miss Tiffany Brooke Edwards

Secondary Practice Location 1

Location 1700 High St, Williamsport Regional Medical Center, Attn: Joe MiletoWilliamsport, PA 17701-3100 · Phone (570) 321-2142

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and more.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

Mrs. Tiffany Edwards Keith Mhs, Pa-c 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 ID8224321799

PECOS Enrollment IDI20180807002388

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Fluorescence wound imaging for bacteria, first anatomic site 0598T

Fluorescence wound imaging for bacteria is a non-invasive procedure that helps identify bacteria in a wound. A special device emits a safe, light glow onto the wound. This light causes bacteria to fluoresce, or shine, making them visible. It aids in targeted treatment planning.

1,097 services124 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

955 services109 patients

Fluorescence wound imaging for bacteria, each additional anatomic site 0599T

Fluorescence wound imaging for bacteria is a procedure that uses special light to detect harmful bacteria in wounds. When used on additional body areas, it helps to ensure no bacteria are missed, promoting better wound healing.

499 services62 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

457 services41 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

303 services94 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

234 services80 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

South Central Reg Med Ctr

Acute Care Hospitals · Laurel, MS

2/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250058

Location1220 Jefferson St Box 607Laurel, MS 39440 · Jones County

Emergency services Birthing friendly

Forrest General Hospital

Acute Care Hospitals · Hattiesburg, MS

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number250078

Location6051 Us Highway 49 SouthHattiesburg, MS 39404 · Forrest County

Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Wound care set, for negative pressure wound therapy electrical pump, includes all supplies and accessories A6550

DME-Other DME · category DE000N

2 suppliers24 claims300 services$22.81 avg. paid by Medicare

Canister, disposable, used with suction pump, each A7000

DME-Other DME · category DE000N

2 suppliers19 claims163 services$7.77 avg. paid by Medicare

Negative pressure wound therapy electrical pump, stationary or portable E2402

DME-Other DME · category DE000N

2 suppliers27 claims27 services$974.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MATTHEW MARTIN

Radiology (Diagnostic Radiology)