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

Tiffany Joyce Ulu

Individual provider Physician Assistant · NPI 1285392431

Tiffany Joyce Ulu is a Physician Assistant in Fayetteville, North Carolina. Qualified in 2022, 4 years ago. Practices with Pavana Treatment Group PC, a 4-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
4
Licensed in
NC
In the registry since
2021

Practice location Address checks out

2301 Robeson St Ste 203
Fayetteville, NC 28305-5641
Phone: (910) 615-3220
Fax: (910) 486-2170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-12278 (NC)

Record details

NPI number1285392431
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 6, 2021
Last updated in NPPESJune 8, 2022
Certification dateJune 8, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pavana Treatment Group Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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