Tiffany Denise Jackson, MD
NPI 1053556399ActiveIndividual· Emergency Medicine· Rock Hill, SC
Emergency Medicine (MD) in Rock Hill, South Carolina, trained at Mercer University School of Medicine (class of 2014). 132 Medicare patients in 2024, $17,199 paid; nearly all of their 152 Part D prescriptions were generic (93%).
Overview
| NPI | 1053556399 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Dec 15, 2008 |
| Last updated in NPPES | Apr 5, 2025 |
| Certified by provider | Apr 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 101629 | GA |
| Emergency Medicine | 207P00000X | 2018-00161 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (AL); Practitioner - Emergency Medicine (GA); Practitioner - Family Practice (NC); Practitioner - Emergency Medicine (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 132 |
|---|---|
| Services billed | 159 across 11 procedure codes |
| Paid by Medicare | $17,199 |
Part D prescriptions in 2024
| Prescriptions (claims) | 152 · 152 30-day fills |
|---|---|
| Patients | 92 |
| Total drug cost | $2,297 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | Mercer University School of Medicine |
|---|---|
| Graduation year | 2014 |
| Medicare specialty | Emergency Medicine |
Medical groups
- Cep America LLCJacksonville, FL · 1,023 clinicians
- Wake Forest Emergency ProvidersBoone, NC · 520 clinicians
- Acs Primary Care Physicians - Southeast PCMyrtle Beach, SC · 420 clinicians
- Gastonia Physician Services PLLCGastonia, NC · 67 clinicians
- Hoke Emergency Group, PCRaeford, NC · 44 clinicians
Hospital affiliations
- Atrium Health PinevilleCharlotte, NC
- Cape Fear Valley Hoke HospitalRaeford, NC
- Caromont Regional Medical CenterGastonia, NC
- Piedmont Medical CenterRock Hill, SC
- Sentara Albemarle Medical CenterElizabeth City, NC
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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