Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Tia L Janicki, PA-C

Individual provider Physician Assistant · NPI 1972636843

Mrs. Tia L Janicki, PA-C is a Physician Assistant in Fairhope, Alabama. Qualified in 2004, 22 years ago. Practices with Proper Dermatology PLLC, a 5-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Florida.

Years since qualifying
22
Licensed in
AL, FL
In the registry since
2007
Specialties on file
2
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

7550 Assunta Ct
Fairhope, AL 36532-3069
Phone: (251) 928-4944
Fax: (251) 928-2086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 N McKenzie St, Foley, AL 36535-2232 — (251) 928-4944

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA.1780 (AL)
Physician Assistant Taxonomy 363A00000X · Licence PA9118346 (FL)

Record details

NPI number1972636843
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 13, 2007
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Proper Dermatology Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fairhope