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TERRANCE TILLISON
NPI 1225733553
Case Manager/Care Coordinator in Oxon Hill, MD

Active since April 04, 2023PECOS Enrolled
1100 KENNEBEC ST APT 4D, OXON HILL, MD 20745(202) 880-4987 Get Directions Write a Review

NPPES record last updated: April 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Terrance Tillison NPPES

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

TERRANCE TILLISON (NPI 1225733553) is an individual case manager/care coordinator provider in Oxon Hill, Maryland and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1225733553
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameTERRANCE TILLISON
Location Address1100 KENNEBEC ST APT 4DOxon Hill, MD 20745-3308
Mailing Address1100 Kennebec St Apt 4dOxon Hill, MD 20745-3308 · (202) 880-4987
Phone(202) 880-4987
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateApril 4, 2023
NPPES CertifiedApril 4, 2023
✔ NPI 1225733553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
1100 KENNEBEC ST APT 4D, Oxon Hill, MD 20745
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Terrance Tillison is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870083504
PECOS Enrollment IDI20251110002982
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.

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 Terrance Tillison's NPI number?

The NPI number for Terrance Tillison is 1225733553. It was assigned to this individual provider in the NPPES registry on April 4, 2023.

Where is Terrance Tillison located?

Terrance Tillison practices at 1100 Kennebec St Apt 4D, Oxon Hill, MD 20745. The listed phone number is (202) 880-4987.

What is Terrance Tillison's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Is Terrance Tillison enrolled in Medicare?

Yes. Terrance Tillison is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Terrance Tillison was last updated on April 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.