Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tiffany Momoko Sparrow, PA-C

Individual provider Physician Assistant · NPI 1790401479

Tiffany Momoko Sparrow, PA-C is a Physician Assistant in Jacksonville, Florida. Qualified in 2022, 4 years ago. Practices with Northeast Florida Endocrine and Diabetes Associates PA, a 80-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
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

915 W Monroe St Ste 200
Jacksonville, FL 32204-1177
Phone: (904) 384-2240
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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 PA9116575 (FL)

Record details

NPI number1790401479
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 14, 2022
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

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 Northeast Florida Endocrine And Diabetes Associates Pa — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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