Dr Tiffany Denise Jackson, MD in Rock Hill, SC

Dr Tiffany Denise Jackson, MD is a medicare enrolled "Emergency Medicine" physician in Rock Hill, South Carolina. She went to Mercer University School Of Medicine and graduated in 2014 and has 11 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Acs Primary Care Physicians - Southeast Pc, Tanglewood Park Physicians Pllc, Gastonia Physician Services Pllc, Wake Forest Emergency Providers, Ballantyne Emergency Physicians Pllc, Acs Primary Care Physicians - Southeast Pc, Cep America Llc and her current practice location is 222 S Herlong Ave, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 325-6301.

Dr Tiffany Denise Jackson is licensed to practice in Georgia (license number 101629) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1053556399.

Contact Information

	Dr Tiffany Denise Jackson, MD
	222 S Herlong Ave, Rock Hill, SC 29732-1158
	(803) 325-6301
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Tiffany Denise Jackson
Gender	Female
Speciality	Emergency Medicine
Experience	11 Years
Location	222 S Herlong Ave, Rock Hill, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Tiffany Denise Jackson attended and graduated from Mercer University School Of Medicine in 2014

NPI Data:

NPI Number: 1053556399
Provider Enumeration Date: 12/15/2008
Last Update Date: 04/05/2025

Medicare PECOS Information:

PECOS PAC ID: 6608161427
Enrollment ID: I20170925003048

Medical Identifiers

Medical identifiers for Dr Tiffany Denise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053556399	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	2018-00161 (North Carolina)	Secondary
207P00000X	Emergency Medicine	101629 (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Piedmont Medical Center	Rock hill, SC	Hospital
Sentara Albemarle Medical Center	Elizabeth city, NC	Hospital
Emory Decatur Hospital	Decatur, GA	Hospital
Caromont Regional Medical Center	Gastonia, NC	Hospital
Emory Hillandale Hospital	Lithonia, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Acs Primary Care Physicians - Southeast Pc	5193620714	354
Tanglewood Park Physicians Pllc	3476895129	24
Gastonia Physician Services Pllc	3870719602	44
Wake Forest Emergency Providers	7012819816	310
Ballantyne Emergency Physicians Pllc	8123459898	52
Acs Primary Care Physicians - Southeast Pc	5193620714	354
Cep America Llc	6608056171	732

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tiffany Denise Jackson allows following entities to bill medicare on her behalf.

Entity Name	Acs Primary Care Physicians - Southeast Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861430555 PECOS PAC ID: 5193620714 Enrollment ID: O20090401000270

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tiffany Denise Jackson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Tiffany Denise Jackson, MD 400 Gilead Rd Ste 651, Huntersville, NC 28078-6899 Ph: (704) 781-8170	Dr Tiffany Denise Jackson, MD 222 S Herlong Ave, Rock Hill, SC 29732-1158 Ph: (803) 325-6301

Reviews and Comments

Emergency Medicine Doctors in Rock Hill, SC

Stephen Barr, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-329-6849
Amir Reza Hashemi, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 803-329-1234
Rebecca Dray, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732 Phone: 412-260-2058
Dr. Edwin Iyere Ozua, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-324-1950 Fax: 803-324-1933
John Lee, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-329-6849
Danny C Smith, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2174 Cherry Rd, Rock Hill, SC 29732 Phone: 803-325-8280

Dr Tiffany Denise Jackson, MD - Medicare Emergency Medicine in Rock Hill, SC