Individual provider · Type 1 NPI

Tia L. Janicki, PA-C

Physician Assistant · Fairhope, AL

NPI number 1972636843 Active

Practice location

7550 Assunta Ct
Fairhope, AL 36532-3069

Fax (251) 928-2086

Other practice locations

  • 1300 N Mckenzie St, Foley, AL 36535-2232 · (251) 928-4944

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA9118346 (FL)
Physician Assistant Primary 363A00000XPA.1780 (AL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

4 other providers at this address

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About NPI 1972636843

Tia L. Janicki, PA-C's National Provider Identifier is 1972636843, issued on Mar 13, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fairhope, AL. The record was last updated on Apr 10, 2026.