DR. CLIFFORD RANDOLPH TILLMAN
NPI 1053309732
Internal Medicine - Gastroenterology in Vidalia, LA
About Dr. Clifford Randolph Tillman NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CLIFFORD RANDOLPH TILLMAN (NPI 1053309732) is an individual gastroenterology provider in Vidalia, Louisiana, licensed in Louisiana (06980R) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Hardtner Medical Center, and is a graduate of Other (1972).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Accepted 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
Dr. Clifford Randolph Tillman 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.
Medicare Billing Reassignments
7Medicare enrollment records show Clifford Tillman reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Olla, LA 71465
- Reassigned Medicare billing, Louisiana enrollment
- Also billed through NPI 1053415745 (Louisiana)
- 44 clinicians in this Medicare group
Alexandria, LA 71301
- Reassigned Medicare billing, Louisiana enrollment
- 44 clinicians in this Medicare group
Zachary, LA 70791
- Reassigned Medicare billing, Louisiana enrollment
- 4,559 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 450 clinicians in this Medicare group
Mobile, AL 36604
- Reassigned Medicare billing, Alabama enrollment
- 210 clinicians in this Medicare group
Opelika, AL 36801
- Reassigned Medicare billing, Alabama enrollment
- 149 clinicians in this Medicare group
Jasper, GA 30143
- Reassigned Medicare billing, Georgia enrollment
- 317 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 24
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hardtner Medical Center
Critical Access Hospitals · Olla, LARiverland Medical Center
Critical Access Hospitals · Ferriday, LABaptist Memorial Hospital North Ms
Acute Care Hospitals · Oxford, MSMerit Health Natchez
Acute Care Hospitals · Natchez, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 6
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 18
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIDALIA, LA 71373
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 Clifford Tillman's NPI number?
The NPI number for Clifford Tillman is 1053309732. It was assigned to this individual provider in the NPPES registry on October 7, 2005.
Where is Clifford Tillman located?
Clifford Tillman practices at 107 Front St Suite 2126, Vidalia, LA 71373. The listed phone number is (318) 336-2216.
What is Clifford Tillman's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Clifford Tillman enrolled in Medicare?
Yes. Clifford 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 organizations bill Medicare for Clifford Tillman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Clifford Tillman reassigns Medicare benefits to 7 organizations: Lasalle Parish Hospital Service Dist No1 (Olla, LA), Christus Health Central Louisiana (Alexandria, LA), Ochsner Clinic LLC (Zachary, LA), Singing River Health System (Ocean Springs, MS), Imc-Diagnostic And Medical Clinic LLC (Mobile, AL) and 2 more organizations, listed in the Medicare section above. Each 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 Clifford Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Clifford Tillman accept?
Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Louisiana, Cigna Healthcare, HMO Louisiana and Oscar Health Plan, Inc. and 1 other insurer list Clifford 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.
Is Clifford Tillman affiliated with any hospitals?
According to CMS data, Clifford Tillman is affiliated with Hardtner Medical Center, Riverland Medical Center, Baptist Memorial Hospital North Ms and Merit Health Natchez.
When was this NPI record last updated?
The NPPES record for Clifford Tillman was last updated on July 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Dr. Clifford Randolph Tillman · NPI 1053309732
Gastroenterology physician in Vidalia, Louisiana. Individual provider, active in the CMS NPPES registry since October 7, 2005.
## Identity
- **NPI:** 1053309732 (Entity type: Individual)
- **Enumerated:** October 7, 2005
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** 06980R (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 107 FRONT ST, SUITE 2126, Vidalia, LA 71373-2836
- **Phone:** (318) 336-2216 · **Fax:** (318) 336-6074
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Lasalle Parish Hospital Service Dist No1 (NPI 1639263189, Olla, LA); Christus Health Central Louisiana (NPI 1497895130, Alexandria, LA); Ochsner Clinic LLC (NPI 1093106452, Zachary, LA); Singing River Health System (NPI 1053528109, Ocean Springs, MS); Imc-Diagnostic And Medical Clinic LLC (NPI 1447201066, Mobile, AL); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1972
## Record status
- **NPPES last updated:** July 25, 2008
- **Other identifiers:** Medicare UPIN C48308 (MS); Medicaid 1316521 (LA); Medicare PIN 5U434 (LA); and 2 more
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Source: [NPI Profile](https://npiprofile.com/npi/1053309732) · Data from the CMS NPPES public registry.