HEATHER MICHELLE TILLERY FNP
NPI 1043631096
Nurse Practitioner - Family in Gainesville, GA

Q: What is Heather Tillery's NPI number?

The NPI number for Heather Tillery is 1043631096. It was assigned to this individual provider in the NPPES registry on December 18, 2013.

Q: What is Heather Tillery's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heather Tillery was last updated on October 6, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 18, 2013PECOS Enrolled

68.55/100

CMS Quality Rating

200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501(770) 534-2020(770) 534-8025 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2020, Mar 10, 2020, Sep 21, 2017 (3 updates tracked since 2017).

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About Heather Michelle Tillery Fnp NPPES

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

HEATHER MICHELLE TILLERY FNP (NPI 1043631096) is an individual family provider in Gainesville, Georgia, licensed in Georgia (RN206952) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043631096

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEATHER MICHELLE TILLERYCredential: FNP

Location Address200 S ENOTA DR NE STE 100Gainesville, GA 30501-3466

Mailing AddressPo Box 742616Atlanta, GA 30374-2616 · (770) 219-8420

Phone(770) 534-2020

Fax(770) 534-8025

Sole ProprietorNo

Enumeration DateDecember 18, 2013

Last NPPES UpdateOctober 6, 20203 updates tracked since enumeration

NPPES CertifiedOctober 6, 2020

✔ NPI 1043631096 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 · RN206952

200 S ENOTA DR NE STE 100, Gainesville, GA 30501

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Other Names 1

Former Name (1)Heather Tillery

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Heather Michelle Tillery Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

22 services12 patients

Blood test, basic group of blood chemicals (calcium, total) 80048

A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30501 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

68.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

63.15

Promoting Interoperability

Improvement Activities

Cost

52.03

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Other Providers at the Same Location NPPES 20

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

DR. NITYA S CHANDRA MD

Internal Medicine (Advanced Heart Failure and Transplant Cardiology)