Tiffany Cox Romanello, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

9618 Issued in GA

Practice address

112 Wilshire Village Dr
Peachtree City, GA 30269-3138

Phone

(770) 676-3376

NPI assigned

Jun 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Wake Forest University School of Medicine, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Specialists of W GaGroup PAC ID 1456397660, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

94.51 of 100Reported as apm

Quality

80.61

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tromanello52276@direct.emory.org

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.

• Dermatology Specialists of W Ga

  • Dermatology Physician
  • Carrollton, GA
  • NPI 1780658203
  Medicare reassignment Care Compare group
• The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1396798229
  Medicare reassignment NPD
• West Georgia Derm Surgery Center

  • MOHS-Micrographic Surgery Physician
  • Carrollton, GA
  • NPI 1235065590
  NPD (past)

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1689088940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 WILSHIRE VILLAGE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693138",
            "telephone_number": "770-676-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 WILSHIRE VILLAGE DR",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693138",
            "telephone_number": "770-676-3376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Newnan Crossing Byp",
            "address_purpose": "LOCATION",
            "city": "Newnan",
            "state": "GA",
            "postal_code": "302652323",
            "country_code": "US",
            "telephone_number": "770-520-8561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Dixie St",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301173816",
            "country_code": "US",
            "telephone_number": "770-838-9333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMANELLO",
        "first_name": "TIFFANY",
        "middle_name": "COX",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "9618",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA10338",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05063",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "9618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank William Rogers, DMD
• Lisa Rogers
• Christine Catherine Rolfes, RN
• Scott R Roman, DPM
• Trisha Kennedy Roman, MSN, FNP-BC, NP-C
• Clarisa Rooks, ARNP
• April Davis Roshak, FNP
• Melissa Diane Rusterucci, AGNP
• Sacred Soul Wellness & Counseling
• Adrian Chearell Sago, LPC

• Dermatology Physician in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Dermatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.