Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Jill Neumann Tibbetts, PA-C

Individual provider Physician Assistant · NPI 1174720775

Mrs. Jill Neumann Tibbetts, PA-C is a Physician Assistant in Charleston, South Carolina. Licensed in South Carolina. Registered with an NPI since 2007.

Licensed in
SC
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

171 Ashley Ave
Charleston, SC 29425-0100
Phone: (843) 792-1414
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence TL1161 (SC)

Record details

NPI number1174720775
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 28, 2007
Last updated in NPPESOctober 15, 2020
Certification dateOctober 15, 2020

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