Active NPI
Tiffany Mercedes Connors, APRN
- Nurse Practitioner
- Fleming Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APRN9281020
- Practice address
- 2310 Village Square Pkwy Ste 106C
Fleming Island, FL 32003-6409 - Phone
- (904) 202-7300
- Fax
- (904) 202-2754
- NPI assigned
- Jul 31, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN9281020 | FL | |
| Nurse Practitioner | 363L00000X | APRN9281020 | FL | Primary |
Addresses
Primary practice location
2310 Village Square Pkwy Ste 106C
Fleming Island, FL 32003-6409
Mailing address
PO Box 746654
Atlanta, GA 30374-6654
Phone (904) 202-2092
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8M6RY | Other | FL | FL BLUE |
| PO094 | Other | FL | MEDICARE |
| 115804500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2310 Village Square Pkwy
Suite 106a
Fleming Island, FL 32003-6409
Phone (904) 202-7300
Hospital & facility affiliations
- Baptist Health Medical Center - Jacksonville
- Baptist Medical Center Beaches
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN9281020 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist MD Anderson Cancer Physicians Inc | Current | Accepting new patients | |
| Baptist MD Anderson Cancer Physicians Inc | Current | Accepting new patients | |
| Baptist MD Anderson Cancer Physicians | Current | Accepting new patients |
Locations
2310 Village Square Pkwy
Ste 106A
Fleming Island, FL 32003
2310 Village Square Pkwy
Ste 106C
Fleming Island, FL 32003
14546 Old St Augustine Rd
Ste 317
Jacksonville, FL 32258
Phone (904) 260-9445
14546 Old Saint Augustine Rd
Ste 105
Jacksonville, FL 32258
Phone (904) 271-6890
Interoperability endpoints
- tconnors127752@baptisthealthsystemjacksonville.direct-ci.com
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Jacksonville, FL
- NPI 1538593124
-
- Radiation Oncology Physician
- Fleming Island, FL
- NPI 1710664206
-
- Hematology & Oncology Physician
- Fleming Island, FL
- NPI 1821866880
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville Beach, FL
- NPI 1821155912
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1578620449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745971200000",
"number": "1518445667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 746654",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303746654",
"telephone_number": "904-202-2092",
"fax_number": "904-376-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2310 VILLAGE SQUARE PKWY STE 106C",
"city": "FLEMING ISLAND",
"state": "FL",
"postal_code": "320036409",
"telephone_number": "904-202-7300",
"fax_number": "904-202-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONNORS",
"first_name": "TIFFANY",
"middle_name": "MERCEDES",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2025-04-30",
"certification_date": "2025-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN9281020",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "APRN9281020",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL BLUE",
"identifier": "8M6RY",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "PO094",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115804500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fleming Island, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; 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.