Dr Tiffany Denise Jackson, MD - Medicare Family Practice in Rock Hill, SC

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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 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Ballantyne Emergency Physicians Pllc, Hoke Emergency Group, Pc, Acs Primary Care Physicians - Southeast Pc, Acs Primary Care Physicians - Southeast Pc, Gastonia Physician Services Pllc, Cep America Llc, Wake Forest Emergency Providers 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 NameDr Tiffany Denise Jackson
GenderFemale
SpecialityFamily Practice
Experience12 Years
Location222 S Herlong Ave, Rock Hill, South Carolina
Accepts Medicare AssignmentsYes. 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: I20180405001571

Medical Identifiers

Medical identifiers for Dr Tiffany Denise Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053556399NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 2018-00161 (North Carolina)Secondary
207P00000XEmergency Medicine 101629 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Medical CenterRock hill, SCHospital
Carolinas Medical Center-pinevilleCharlotte, NCHospital
Caromont Regional Medical CenterGastonia, NCHospital
Cape Fear Valley Hoke HospitalRaeford, NCHospital
Sentara Albemarle Medical CenterElizabeth city, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ballantyne Emergency Physicians Pllc812345989843
Hoke Emergency Group, Pc721420014644
Acs Primary Care Physicians - Southeast Pc5193620714411
Acs Primary Care Physicians - Southeast Pc5193620714411
Gastonia Physician Services Pllc387071960267
Cep America Llc6608056171972
Wake Forest Emergency Providers7012819816487

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 NameMid-atlantic Emergency Medical Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073562757
PECOS PAC ID: 4880686823
Enrollment ID: O20040331000927
Entity NameThe Carolinas Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477508836
PECOS PAC ID: 2567486814
Enrollment ID: O20060125000577
Entity NameWestern Carolina Emergency Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134391758
PECOS PAC ID: 8921171190
Enrollment ID: O20080721000746
Entity NameEmergency Medicine Physicians Of Mecklenburg County Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912232182
PECOS PAC ID: 3870635584
Enrollment ID: O20100119000374
Entity NameGastonia Physician Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316367691
PECOS PAC ID: 3870719602
Enrollment ID: O20140730002523
Entity NameHoke Emergency Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003337528
PECOS PAC ID: 7214200146
Enrollment ID: O20170829001085
Entity NameWake Forest Emergency Providers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396216735
PECOS PAC ID: 7012819816
Enrollment ID: O20190312003619
Entity NamePiedmont Triad Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295206464
PECOS PAC ID: 6406197334
Enrollment ID: O20190403000344
Entity NameKernersville Emergency Group, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750852034
PECOS PAC ID: 3375885429
Enrollment ID: O20190422001205
Entity NameTanglewood Park Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093286379
PECOS PAC ID: 3476895129
Enrollment ID: O20190429001041
Entity NameBallantyne Emergency Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164052726
PECOS PAC ID: 8123459898
Enrollment ID: O20200513000736
Entity NameGlutality Provider Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083256168
PECOS PAC ID: 9032549837
Enrollment ID: O20200825003292

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 AddressPractice 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    
Dr. Jade Reid, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732
Phone: 803-329-1234    
Amir Reza Hashemi, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 222 Herlong Ave S, Rock Hill, SC 29732
Phone: 803-329-1234    
Rebecca Dray,
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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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.