Doctor profile · Federal record

Dr. Tiara Funkhouser, PA

Physician Assistant · Yulee, FL

  • NPI 1306578786
  • MIPS 90.8 / 100 · 2023
  • 4 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
463380 State Road 200 Unit B
Yulee, FL 320973240
(904) 500-9808
fax (904) 432-0401
Mailing address
705 Wells RD Ste 300
Orange Park, FL 320732982

Credentials & registration

NPPES · NUCC
NPI registered
June 2022 — 4 yrs on file
Profile last updated
October 21, 2022
Specialty taxonomy
363A00000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1306578786. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$62
Transactions
3
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Boston Scientific Corporation 1 $26.93
Corium, LLC 1 $18.84
Otsuka America Pharmaceutical, INC. 1 $16.66

By nature of payment

Food and Beverage
$62

Frequently asked questions

Auto-generated from federal data
What is Dr. Tiara Funkhouser's medical specialty?
Dr. Tiara Funkhouser practices Physician Assistant in Yulee, FL.
Where does Dr. Tiara Funkhouser practice?
Dr. Tiara Funkhouser practices at 463380 State Road 200 Unit B, Yulee, FL 320973240. Office phone: 9045009808.
What is Dr. Tiara Funkhouser's NPI?
Dr. Tiara Funkhouser's National Provider Identifier (NPI) is 1306578786, issued by NPPES.