TILLMAN MEDICAL GROUP PA
NPI 1043260615
Specialist in Vidalia, LA

NPI Status: Active since May 12, 2006

Contact Information

107 FRONT ST
VIDALIA, LA
ZIP 71373
Phone: (318) 336-2216

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  • Organization
  • Specialist

About TILLMAN MEDICAL GROUP PA

This page provides the complete NPI Profile along with additional information for Tillman Medical Group Pa, a provider established in Vidalia, Louisiana operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1043260615 assigned on May 2006. The practitioner's primary taxonomy code is 174400000X with license number 5D595 (LA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Tillman Medical Group Pa operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Tana L Archer (Accounts Manager)

NPI
1043260615
Provider Name
TILLMAN MEDICAL GROUP PA
Entity Type
Organization
Location Address
107 FRONT ST VIDALIA, LA 71373
Location Phone
(318) 336-2216
Mailing Address
107 FRONT ST VIDALIA, LA 71373
Mailing Phone
(318) 336-2216
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2006
Last Update Date
06-04-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
5D595
License State
LA
Taxonomy Description
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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TANA L ARCHER

Authorized Official Title
ACCOUNTS MANAGER
Authorized Official Phone
(318) 336-2216

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
5D595MEDICARE ID-TYPE UNSPECIFIED (04)LA 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1043260615, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
4
Doubled → 8
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
1
Doubled → 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 2 → 4 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 8 + 3 + 4 + 6 + 0 + 6 + 2 + 24 = 55

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1043260615.

Other Providers at the Same Location


The following 17 providers are registered at the same or a nearby location.

Internal Medicine
107 FRONT ST, SUITE 2109
VIDALIA, LA 71373
Otolaryngology
107 FRONT ST, SUITE 240
VIDALIA, LA 71373
Clinic/Center (Radiology)
107 FRONT ST
VIDALIA, LA 71373
Clinic/Center (Ambulatory Surgical)
107 FRONT ST, STE.1100
VIDALIA, LA 71373
Internal Medicine (Gastroenterology)
107 FRONT ST, SUITE 2126
VIDALIA, LA 71373
Nurse Practitioner (Family)
107 FRONT ST
VIDALIA, LA 71373
Social Worker (Clinical)
107 FRONT ST, STE 2134
VIDALIA, LA 71373
Internal Medicine (Pulmonary Disease)
107 FRONT ST
VIDALIA, LA 71373
Clinic/Center (Urgent Care)
107 FRONT ST, STE 2138
VIDALIA, LA 71373
Emergency Medical Technician, Basic
107 FRONT ST
VIDALIA, LA 71373
Clinic/Center (Community Health)
107 FRONT ST
VIDALIA, LA 71373
Clinical Medical Laboratory
107 FRONT ST
VIDALIA, LA 71373
Surgery (Vascular Surgery)
107 FRONT ST
VIDALIA, LA 71373
Orthopaedic Surgery
107 FRONT ST, SUITE 2134
VIDALIA, LA 71373
Internal Medicine (Pulmonary Disease)
107 FRONT ST
VIDALIA, LA 71373
Nurse Practitioner (Family)
107 FRONT ST
VIDALIA, LA 71373
Internal Medicine (Pulmonary Disease)
107 FRONT ST
VIDALIA, LA 71373

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043260615, enumerated as an "organization" on May 12, 2006.

The provider is located at 107 FRONT ST VIDALIA, LA 71373 and the phone number is (318) 336-2216.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.