MRS. SHAKEVA TILLER PMHNP
NPI 1255117271
Nurse Practitioner - Psychiatric/Mental Health in Stockbridge, GA

Active since September 05, 2023PECOS Enrolled
135 EAGLES WALK, STOCKBRIDGE, GA 30281(470) 726-4147 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2025, Sep 5, 2023 (2 updates tracked since 2023).

About Mrs. Shakeva Tiller Pmhnp NPPES

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

MRS. SHAKEVA TILLER PMHNP (NPI 1255117271) is an individual psychiatric/mental health provider in Stockbridge, Georgia, licensed in Georgia (RN287171) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255117271
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SHAKEVA TILLERCredential: PMHNP
Location Address135 EAGLES WALKStockbridge, GA 30281-7206
Mailing AddressPo Box 531Moreland, GA 30259-0531
Sole ProprietorYes
Enumeration DateSeptember 5, 2023
Last NPPES UpdateDecember 11, 20252 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1255117271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in GA · RN287171
135 EAGLES WALK, Stockbridge, GA 30281

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Shakeva Tiller Pmhnp 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shakeva Tiller reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional
135 EAGLES WALK STE 100
Stockbridge, GA 30281
  • Reassigned Medicare billing, Georgia enrollment
  • 5 clinicians in this Medicare group
Marriage & Family Therapist
110 WINDSOR AVE
Americus, GA 31709
  • Reassigned Medicare billing, Georgia enrollment
  • 2 clinicians in this Medicare group
Psychiatry
290 TOWN CENTER DR STE 141
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 86 clinicians in this Medicare group
Internal Medicine
290 TOWN CENTER DR STE 141
Dearborn, MI 48126
  • Reassigned Medicare billing, Michigan enrollment
  • 86 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30281 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Other Providers at the Same Location NPPES 4

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

Psychiatry & Neurology (Neurology)
135 EAGLES WALK, SUITE 150
STOCKBRIDGE, GA 30281
Specialist
135 EAGLES WALK, SUITE 200
STOCKBRIDGE, GA 30281
Home Health
135 EAGLES WALK, SUITE 325 A
STOCKBRIDGE, GA 30281
Specialist
135 EAGLES WALK, SUITE 200
STOCKBRIDGE, GA 30281

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 Shakeva Tiller's NPI number?

The NPI number for Shakeva Tiller is 1255117271. It was assigned to this individual provider in the NPPES registry on September 5, 2023.

Where is Shakeva Tiller located?

Shakeva Tiller practices at 135 Eagles Walk, Stockbridge, GA 30281. The listed phone number is (470) 726-4147.

What is Shakeva Tiller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shakeva Tiller enrolled in Medicare?

Yes. Shakeva Tiller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shakeva Tiller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shakeva Tiller reassigns Medicare benefits to 4 organizations: Heritage Care Place LLC (Stockbridge, GA), Lotus Nest Counseling Services LLC (Americus, GA), Psychplus Associates Of Michigan, PLLC (Dearborn, MI) and Psychplus Medical Associates Of Michigan, PLLC (Dearborn, MI). 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 Shakeva Tiller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shakeva Tiller accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Shakeva Tiller 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.

When was this NPI record last updated?

The NPPES record for Shakeva Tiller was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.