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LOGAN BROOKE TILLMAN FNP
NPI 1023987690
Nurse Practitioner - Family in Baxley, GA

Active since November 03, 2025PECOS EnrolledAccepts Medicare Assignment
105 E TOLLISON ST, BAXLEY, GA 31513(912) 367-0102(912) 367-9966 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Logan Brooke Tillman Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOGAN BROOKE TILLMAN FNP (NPI 1023987690) is an individual family provider in Baxley, Georgia, licensed in Georgia (APRN-NP298425) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023987690
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLOGAN BROOKE TILLMANCredential: FNP
Location Address105 E TOLLISON STBaxley, GA 31513-0149
Mailing Address5522 Ten Mile RdBaxley, GA 31513-6223 · (912) 367-0102 · Fax (912) 367-9966
Phone(912) 367-0102
Fax(912) 367-9966
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 3, 2025
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1023987690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · APRN-NP298425
105 E TOLLISON ST, Baxley, GA 31513
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Logan Brooke Tillman Fnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062907181
PECOS Enrollment IDI20251216004115
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Logan Tillman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Baxley And Appling County Hospital Authority
Same address
General Practice
163 E TOLLISON ST
Baxley, GA 31513
  • Reassigned Medicare billing, Georgia enrollment
  • 14 clinicians in this Medicare group
NPI 1518967116 (912) 367-9841

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31513 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE BAXLEY & APPLING COUNTY HOSPITAL AUTHORITY
Clinic/Center (Primary Care)
105 E TOLLISON ST
BAXLEY, GA 31513
Appling County (912) 367-4122
SOUTHEAST LUNG & CRITICAL CARE SPECIALISTS, PC
Internal Medicine (Pulmonary Disease)
105 E TOLLISON ST, # A
BAXLEY, GA 31513
Appling County (912) 927-6270
MELANIE S YOUNG FNP
Nurse Practitioner (Family)
105 E TOLLISON ST, SUITE D
BAXLEY, GA 31513
Appling County (912) 366-9688
THE BAXLEY AND APPLING COUNTY HOSPITAL AUTHORITY
Clinic/Center (Rural Health)
105 E TOLLISON ST, SUITE D
BAXLEY, GA 31513
Appling County (912) 366-9688

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Logan Tillman's NPI number?

The NPI number for Logan Tillman is 1023987690. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Logan Tillman located?

Logan Tillman practices at 105 E Tollison St, Baxley, GA 31513. The listed phone number is (912) 367-0102.

What is Logan Tillman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Logan Tillman enrolled in Medicare?

Yes. Logan Tillman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Logan Tillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Logan Tillman reassigns Medicare benefits to The Baxley And Appling County Hospital Authority (Baxley, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Logan Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Logan Tillman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Logan Tillman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Logan Tillman was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.