Tiffany Jackson, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5010526 Issued in NC

Practice address

7845 Little Ave
Charlotte, NC 28226-8198

Phone

(704) 375-0100

Fax

(704) 335-3592

NPI assigned

Jul 27, 2012

Last updated

Apr 1, 2025By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJDHDD

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.

• Hospice & Palliative Care Charlotte Region

  dba VIA Health Partners

  • Community Based Hospice Care Agency
  • Charlotte, NC
  • NPI 1548398720
  Medicare reassignment
• Hospice & Palliative Care Charlotte Region

  dba Hospice & Palliative Care Palmetto Region

  • Community Based Hospice Care Agency
  • Fort Mill, SC
  • NPI 1679991301
  Medicare reassignment
• Hospice & Palliative Care Charlotte Region

  dba VIA Health Partners

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Fort Mill, SC
  • NPI 1417570771
  NPD
• Hospice of Laurens County Inc

  dba VIA Health Partners

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Clinton, SC
  • NPI 1275156606
  NPD
• Hospice of Laurens County Inc

  dba VIA Health Partners

  • Community Based Hospice Care Agency
  • Clinton, SC
  • NPI 1912912890
  NPD

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

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1720334725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 470408",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282470408",
            "telephone_number": "704-375-0100",
            "fax_number": "704-335-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7845 LITTLE AVE",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268198",
            "telephone_number": "704-375-0100",
            "fax_number": "704-335-3592"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1061 Red Ventures Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297072516",
            "country_code": "US",
            "telephone_number": "704-375-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "TIFFANY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-27",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21482",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5010526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shonta Jackson
• Stephanie Lynn Jackson, DDS, MS
• Steven Howard Jackson, D.C.
• Tara Michele Jackson, MA, CCC-SLP
• Te'Essence Jackson
• Tiffany Renae Jackson, FNP
• Timothy William Jackson, D.P.T.
• Tonya Elaine Jackson, SLP
• Vashon Jackson, OT
• Victoria C Jackson

• Family Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Family Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.