Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134799307 Individual Practitioner Female Practitioner

Tiffany Michelle Mack , MS, CCC-SLP

Speech-Language Pathologist • Virginia Beach, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tiffany Mack, MS, CCC-SLP is a certified Speech-Language Pathologist practicing in Virginia Beach, VA. With approximately 30 years of clinical experience since completing medical education in 1996, Tiffany Mack delivers high-quality medical care to the local community at 4560 PRINCESS ANNE RD.

Tiffany Mack is affiliated with Functional Pathways Preferred Of Tennessee Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

4560 Princess Anne Rd

Virginia Beach, VA 234627905

Telephone 7574741249
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Virginia Beach, VA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs +17.1 yrs vs City Avg
City Avg: 12.9 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
443 Specialists

Practicing in Virginia Beach, VA (4974 Statewide)

Telehealth Adoption Rate
0.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mack (30 Years) 30 Yrs
Virginia Beach Specialty Average (12.9 Years) 12.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-06-29
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License VA 2202003051

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Hospital & Practice Group Affiliations

Functional Pathways Preferred Of Tennessee Llc

4560 Princess Anne Rd, Virginia Beach, VA 234627905

Phone: 8885312204

Functional Pathways Preferred Of Tennessee Llc

3317 Ocean Shore Ave, Virginia Beach, VA 234511683

Phone: 8885312204

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Nicole Boggs , MSED, CCC-SLP

Speech-Language Pathologist

NPI 1083886584

Master of Science in Education, Speech-Language Pathologist (Certificate of Clinical Competence)

Tanyaa Williams , COTA

Occupational Therapy Assistant

NPI 1265556906

Certified Occupational Therapy Assistant

Kelli-Lynn Reff , MSED CCC-SLP

Speech-Language Pathologist

NPI 1356586846

MSEDCCCSLP

Anna Hayes , MPT

Physical Therapist

NPI 1417926494

Master of Physical Therapy

Alexis Lucas , MS, OTR, L

Occupational Therapist

NPI 1497068209

Master of Science, Occupational Therapist Registered, L

Veneka Belcher , OTR, L

Occupational Therapist

NPI 1548520265

Occupational Therapist Registered, L

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 29, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2021

Registered at 4560 PRINCESS ANNE RD, VIRGINIA BEACH, VA 234627905 (Tel: 7574741249)

📍
Updated Business Mailing Address June 29, 2021

Registered at 812 PARKVIEW CT, VIRGINIA BEACH, VA 234566301 (Tel: 7575755713)

👤
Provider Name / Credentials Updated June 29, 2021

Recorded as TIFFANY MACK, M.S., CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2021

Speech-Language Pathologist (License #2202003051 in VA)

🟢
Initial NPI Registration & Enumeration June 29, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134799307
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2021
Last Update: June 29, 2021
Sole Proprietor: Yes

Mailing Address

812 Parkview Ct

Virginia Beach, VA 234566301

Phone: 7575755713

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.