Tia L Janicki, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.1780 Issued in AL

Practice address

7550 Assunta CT
Fairhope, AL 36532-3069

Phone

(251) 928-4944

Fax

(251) 928-2086

NPI assigned

Mar 13, 2007

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

Other names 1

• Miss Tia L Chirico Former name

Medicare fee-for-service enrollment

Enrolled in AL, FL2 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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proper Dermatology PLLCGroup PAC ID 8325470727, 5 clinicians

Bay Shore Dermatology, PCGroup PAC ID 9638192263, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulf Breeze Hospital Hospital, Gulf Breeze, FL, CCN 100266

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tjanicki@aldermatology.emadirect.md

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.

• Bay Shore Dermatology, PC

  dba Bay Shore Dermatology & Laser Surgery Center, PC

  • Dermatology Physician
  • Fairhope, AL
  • NPI 1316011398
  Medicare reassignment Care Compare group NPD
• Proper Dermatology PLLC

  • Dermatology Physician
  • Gulf Breeze, FL
  • NPI 1528623923
  Medicare reassignment Care Compare group
• Cutaneous Oncology & Surgery Center, LLC

  dba SmoothRock Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Vestavia HLS, AL
  • NPI 1699139915
  NPD (past)
• Ann B McCune, MD

  • Specialist
  • McMurray, PA
  • NPI 1316070253
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Health Care, Inc.

  dba Gulf Breeze Hospital

  • General Acute Care Hospital
  • Gulf Breeze, FL
  • NPI 1972664530
  Care Compare affiliation

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775779200000",
    "number": "1972636843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 ASSUNTA CT",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323069",
            "telephone_number": "251-928-4944",
            "fax_number": "251-928-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 ASSUNTA CT",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323069",
            "telephone_number": "251-928-4944",
            "fax_number": "251-928-2086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 N McKenzie St",
            "address_purpose": "LOCATION",
            "city": "Foley",
            "state": "AL",
            "postal_code": "365352232",
            "country_code": "US",
            "telephone_number": "251-928-4944",
            "fax_number": "251-928-2086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANICKI",
        "first_name": "TIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9118346",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AL",
            "license": "PA.1780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIA",
            "last_name": "CHIRICO",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Gilreath Ison, MD
• Christopher W Ives, MD
• J Gregory Reasons PC
• Amber Jackson, DO
• Nsikak Monday Jackson, MD
• Lindsey Schulz Jennings, RDN, LD
• Harvey Herman Joanning, PH.D.
• Joe L. Purvis
• John a. Maddox, DMD LLC
• Ann K Johnson, PT

• Physician Assistant in Fairhope, AL
• Providers in Fairhope, AL by specialty
• Physician Assistant in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.