MRS. TIFFANY KAITLIN GOBER PA
NPI 1619652864
Physician Assistant - Medical in Jacksonville, FL

NPI Status: Active since June 15, 2023

Contact Information

6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL
ZIP 32216
Phone: (904) 245-8910

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  • Individual
  • Female
  • Physician Assistant
  • Medical
  • PECOS Enrolled

About TIFFANY GOBER

This page provides the complete NPI Profile along with additional information for Tiffany Gober, a primary care provider established in Jacksonville, Florida with a medical specialization in Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1619652864 assigned on June 2023. The practitioner's primary taxonomy code is 363AM0700X. The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1619652864
Provider Name
MRS. TIFFANY KAITLIN GOBER PA
Other Name
TIFFANY KAITLIN ACOSTA
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
6675 CORPORATE CENTER PKWY STE 115 JACKSONVILLE, FL 32216
Location Phone
(904) 245-8910
Mailing Address
7856 MEADOW WALK LN JACKSONVILLE, FL 32256
Mailing Phone
(904) 742-6155
Is Sole Proprietor?
No
Enumeration Date
06-15-2023
Last Update Date
06-15-2023
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A primary care provider (PCP) like Tiffany Gober sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers

Medicare Participation & PECOS Enrollment Status

Tiffany Gober is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for MRS. TIFFANY KAITLIN GOBER PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619652864
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26291254812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 1 + 2 + 5 + 4 + 8 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1619652864 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1275143687 JUSTIN VINOMON
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(404) 323-9804
1568103885 MICHELLE KATHERINE FARINA
Individual
Physician Assistant (Medical)6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1932835733 CUONG NGUYEN PA-C
Individual
Physician Assistant (Medical)6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1417646415 ELIZABETH NAGALES
Individual
Student in an Organized Health Care Education/Training Program6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1134504665 HALEY ELIZABETH ANDERSON PA-C, ATC
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(609) 709-3691
1417650151 DELILAH ELAINE HARRISON PA-C
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1740057793 ALEX DOHERTY
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1710768288 SAREETA SHAH
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1972206100 ANWAR NASSOR
Individual
Anesthesiologist Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1487498531 KENDALL PFEIFFER
Individual
Student in an Organized Health Care Education/Training Program6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1831927722 MADISON TAYLOR MACDOUGALL
Individual
Student in an Organized Health Care Education/Training Program6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1467286559 KAITLYN MELAMED
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1902630007 JENNY LE
Individual
Physician Assistant (Medical)6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1174271878 CRAIG SHERWOOD
Individual
Anesthesiologist Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1780433987 ANDREW EATON
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1316768039 ANH NGUYEN
Individual
Student in an Organized Health Care Education/Training Program6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1184484693 MICHAEL WILLIAMSON
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1396579553 HEATHER ASHLEY HOMRIGHOUSE PA-C
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910
1265249338 PHILIP T CHANFRAU PA-C
Individual
Physician Assistant6675 CORPORATE CENTER PKWY STE 115
JACKSONVILLE, FL 32216
(904) 245-8910

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619652864, enumerated in the NPI registry as an "individual" on June 15, 2023

The provider is located at 6675 Corporate Center Pkwy Ste 115 Jacksonville, Fl 32216 and the phone number is (904) 245-8910

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

This NPI record was last updated on June 15, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.