Tiffany Everts, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9121039 Issued in FL

Practice address

3951 S Nova Rd
Port Orange, FL 32127-9270

Phone

(386) 256-1444

Fax

(321) 400-1118

NPI assigned

Jan 28, 2026

Last updated

Jan 28, 2026By the provider in NPPES

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

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Blue Ocean Dermatology LLCGroup PAC ID 3779729603, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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

• Blue Ocean Dermatology LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1992045272
  Medicare reassignment Care Compare group NPD
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Palm Coast, FL
  • NPI 1164309605
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • New Smyrna Beach, FL
  • NPI 1184501611
  NPD (past)
• Blue Ocean Deramtology LLC

  • Dermatology Physician
  • Daytona Beach, FL
  • NPI 1689551129
  NPD (past)
• Dermatology on the Spot, LLC

  • Dermatology Physician
  • Port Orange, FL
  • NPI 1487058533
  NPD (past)

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

{
    "created_epoch": "1769558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769558400000",
    "number": "1376492645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E WASHINGTON AVE",
            "city": "PIERSON",
            "state": "FL",
            "postal_code": "321802309",
            "telephone_number": "863-256-1444",
            "fax_number": "321-400-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3951 S NOVA RD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279270",
            "telephone_number": "386-256-1444",
            "fax_number": "321-400-1118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "57 Town Ct Ste 119",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321642425",
            "country_code": "US",
            "telephone_number": "386-256-1444 x505",
            "fax_number": "321-400-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1840 GREENWICH AVE",
            "address_purpose": "LOCATION",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894012",
            "country_code": "US",
            "telephone_number": "386-256-1444 x505",
            "fax_number": "321-400-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2672 Lpga Blvd",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321241008",
            "country_code": "US",
            "telephone_number": "386-256-1444 x505",
            "fax_number": "321-400-1118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 N DUSS ST",
            "address_purpose": "LOCATION",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321686971",
            "country_code": "US",
            "telephone_number": "386-256-1444 x505",
            "fax_number": "321-400-1118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EVERTS",
        "first_name": "TIFFANY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-28",
        "last_updated": "2026-01-28",
        "certification_date": "2026-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9121039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Elizabeth Faison, P.A.-C
• Dianet Falcon, DO

• Medical Physician Assistant in Port Orange, FL
• Providers in Port Orange, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.