Individual provider Active NPI

Tiffany Marie Darnold, P.A.

  • Medical Physician Assistant
  • Lake Mary, FL
National Provider Identifier
1790189033
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9108284 Issued in FL
Practice address
731 Stirling Center PL Unit 1931
Lake Mary, FL 32746-5209
Phone
(386) 523-8345
Fax
(800) 847-1693
NPI assigned
Oct 15, 2014
Last updated
May 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9108284 FL Primary

Addresses

Primary practice location

731 Stirling Center PL Unit 1931
Lake Mary, FL 32746-5209

Mailing address

731 Stirling Center PL Unit 1931
Lake Mary, FL 32746-5209
Phone (407) 721-9162

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141117000863 FL Practitioner - Physician Assistant 3971725409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Nova Southeastern Univ College of Dental Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermacare Senior Solutions LLCGroup PAC ID 7113427006, 9 clinicians

Practice addresses (Care Compare)

731 Stirling Ctr PL
Unit 1931
Lake Mary, FL 32746-5209
Phone (386) 523-8345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9108284FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1790189033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 STIRLING CENTER PL UNIT 1931",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465209",
            "telephone_number": "407-721-9162",
            "fax_number": "800-847-1693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 STIRLING CENTER PL UNIT 1931",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465209",
            "telephone_number": "386-523-8345",
            "fax_number": "800-847-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARNOLD",
        "first_name": "TIFFANY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-15",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9108284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.