Tiffany Taylor Massey, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME116641 Issued in FL

Practice address

820 Prudential Dr Ste 304
Jacksonville, FL 32207-8205

Phone

(904) 202-3860

Fax

(904) 348-5627

NPI assigned

Jun 22, 2010

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Abode Hospice of Florida, LLC

  • Community Based Hospice Care Agency
  • Gainesville, FL
  • NPI 1154162857

  Contracted Managing Employee

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haven Medical Group, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Gainesville, FL
  • NPI 1407143316
  Medicare reassignment NPD
• Quality Healthcare Resources LLC

  • Family Nurse Practitioner
  • Little Rock, AR
  • NPI 1205081437

  FL

  Medicare reassignment NPD
• Abode Hospice of Florida, LLC

  • Community Based Hospice Care Agency
  • Gainesville, FL
  • NPI 1154162857

  Family Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1225359458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 44004",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322314004",
            "telephone_number": "904-202-1032",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 PRUDENTIAL DR STE 304",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078205",
            "telephone_number": "904-202-3860",
            "fax_number": "904-348-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "TIFFANY",
        "middle_name": "TAYLOR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME116641",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009940100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Massey, CLD, CPD, CLSE
• Mallory R Massey, OTR/L
• Maranda Nicole Massey, FNP-BC,PMHNP-BC,APRN
• Phylicia Nicole Massey, LCSW
• Randy Massey
• Yolanda Massey
• Shannon G Massingale
• Amanda Massman, LCSW
• Gabriella Massoglia, PHARMD, RPH
• Hiran Master

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.