JUSTIN ROSS TILLMAN FNP
NPI 1215543756
Nurse Practitioner - Family in Gulfport, MS
About Justin Ross Tillman Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN ROSS TILLMAN FNP (NPI 1215543756) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (904708) and active in the NPI registry since September 2020. He is enrolled in Medicare PECOS, is affiliated with Singing River Health System, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Justin Ross 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.
Medicare Billing Reassignments
3Medicare enrollment records show Justin Tillman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 298 clinicians in this Medicare group
Biloxi, MS 39532
- Reassigned Medicare billing, Mississippi enrollment
- 22 clinicians in this Medicare group
Ocean Springs, MS 39564
- Reassigned Medicare billing, Mississippi enrollment
- 450 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 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Singing River Health System
Acute Care Hospitals · Pascagoula, MSSinging River Gulfport
Acute Care Hospitals · Gulfport, MSPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 39503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Justin Tillman's NPI number?
The NPI number for Justin Tillman is 1215543756. It was assigned to this individual provider in the NPPES registry on September 21, 2020.
Where is Justin Tillman located?
Justin Tillman practices at 12330 Ashley Dr, Gulfport, MS 39503. The listed phone number is (228) 831-1572.
What is Justin Tillman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Justin Tillman enrolled in Medicare?
Yes. Justin 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 Justin Tillman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin Tillman reassigns Medicare benefits to 3 organizations: Singing River Gulfport (Gulfport, MS), Physician Services Of The Gulf Coast LLC (Biloxi, MS) and Singing River Health System (Ocean Springs, MS). 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 Justin Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin Tillman accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Justin 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 Justin Tillman affiliated with any hospitals?
According to CMS data, Justin Tillman is affiliated with Singing River Health System and Singing River Gulfport.
When was this NPI record last updated?
The NPPES record for Justin Tillman was last updated on October 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Justin Ross Tillman, FNP · NPI 1215543756
Family physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since September 21, 2020.
## Identity
- **NPI:** 1215543756 (Entity type: Individual)
- **Enumerated:** September 21, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 904708 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 12330 ASHLEY DR, Gulfport, MS 39503-2737
- **Phone:** (228) 831-1572 · **Fax:** (228) 831-1218
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Singing River Gulfport (NPI 1063133833, Gulfport, MS); Physician Services Of The Gulf Coast LLC (NPI 1366922023, Biloxi, MS); Singing River Health System (NPI 1053528109, Ocean Springs, MS) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1215543756) · Data from the CMS NPPES public registry.