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TILLMAN MEDICAL GROUP PA
NPI 1043260615
Specialist in Vidalia, LA

Active since May 12, 2006
107 FRONT ST, VIDALIA, LA 71373(318) 336-2216 Get Directions Write a Review

NPPES record last updated: June 4, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tillman Medical Group Pa NPPES

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

TILLMAN MEDICAL GROUP PA (NPI 1043260615) is a healthcare organization registered as a specialist in Vidalia, Louisiana and active in the NPI registry since May 2006. The organization lists Tana L Archer, Accounts Manager, as its authorized official.

NPPES Registry Identity

NPI1043260615
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTILLMAN MEDICAL GROUP PA
Location Address107 FRONT STVidalia, LA 71373-2836
Mailing Address107 Front StVidalia, LA 71373-2836 · (318) 336-2216
Phone(318) 336-2216
Organization SubpartNo
Authorized OfficialTana L ArcherAccounts Manager · (318) 336-2216
Enumeration DateMay 12, 2006
Last NPPES UpdateJune 4, 2013
✔ NPI 1043260615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 5D595
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
107 FRONT ST, Vidalia, LA 71373
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Other Identifiers 1

Medicare ID-Type Unspecified5D595LA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

DR. CLIFFORD RANDOLPH TILLMAN
Internal Medicine (Gastroenterology)
107 FRONT ST, SUITE 2126
VIDALIA, LA 71373
Concordia Parish (318) 336-2216
RIVER PARK ASC LLC
Clinic/Center (Ambulatory Surgical)
107 FRONT ST, STE.1100
VIDALIA, LA 71373
Concordia Parish (318) 336-2218
RIVERPARK LABORATORY SERVICES
Clinical Medical Laboratory
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (318) 336-9370
RIVERVIEW PULMONARY CLINIC
Internal Medicine (Pulmonary Disease)
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (318) 336-2222
RIVERFRONT URGENT CARE CENTER LLC
Clinic/Center (Urgent Care)
107 FRONT ST, STE 2138
VIDALIA, LA 71373
Concordia Parish (318) 336-2219
ARTHUANNA PLATER FNP
Nurse Practitioner (Family)
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (225) 241-5515
PERFUSION VASCULAR VIDALIA LLC
Surgery (Vascular Surgery)
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (985) 892-7070
RIVERPARK AFTER HOURS CLINIC LLC
Emergency Medical Technician, Basic
107 FRONT ST
VIDALIA, LA 71373
Concordia Parish (318) 336-2222

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 Tillman Medical Group PA's NPI number?

The NPI number for Tillman Medical Group PA is 1043260615. It was assigned to this organization in the NPPES registry on May 12, 2006.

Where is Tillman Medical Group PA located?

Tillman Medical Group PA is located at 107 Front St, Vidalia, LA 71373. The listed phone number is (318) 336-2216.

What is Tillman Medical Group PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tillman Medical Group PA was last updated on June 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.