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DR. COLLETTE MARIA TILLY MD
NPI 1255969960
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since March 29, 2020PECOS Enrolled
101 MANNING DRIVE, CHAPEL HILL, NC 27599(919) 962-3624(501) 364-4082 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 27, 2025, Sep 22, 2024, Jul 23, 2024 and 1 more (4 updates tracked since 2020).

About Dr. Collette Maria Tilly Md NPPES

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

DR. COLLETTE MARIA TILLY MD (NPI 1255969960) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in North Carolina (2025-01613) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255969960
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. COLLETTE MARIA TILLYCredential: MD
Location Address101 MANNING DRIVEChapel Hill, NC 27599-3500
Mailing Address030 Macnider Hall Campus Box 7231, 333 South Columbia StreetChapel Hill, NC 27599 · (919) 962-3624
Phone(919) 962-3624
Fax(501) 364-4082
Sole ProprietorNo
Enumeration DateMarch 29, 2020
Last NPPES UpdateJune 27, 20254 updates tracked since enumeration
NPPES CertifiedJune 27, 2025
✔ NPI 1255969960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in NC · 2025-01613
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedInternal MedicineTaxonomy 207R00000X · License E-17847 (AR)
Also ListedPediatricsTaxonomy 208000000X · License E-17847 (AR)
101 MANNING DRIVE, Chapel Hill, NC 27599
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Collette Maria Tilly Md 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.

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. DENISE LIZNETT TORRES MD, MPH
Internal Medicine (Addiction Medicine)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (917) 900-6690
JOHNATHAN HARRY STATHOPOULOS MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE, CB# 7160
CHAPEL HILL, NC 27599
Orange County (984) 974-3982
KEVIN ALEXANDER TAM MD
Student in an Organized Health Care Education/Training Program
101 MANNING DRIVE, OLD CLINIC BUILDING 3020 CAMPUS BOX# 7570
CHAPEL HILL, NC 27599
Orange County (919) 966-4150
ELIZABETH KOTZEN MD
Internal Medicine (Nephrology)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 966-2561
JOHN TASSO VARVARIKOS
Radiology (Diagnostic Radiology)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 966-6646
DR. KENAN MILES PENASKOVIC MD
Psychiatry & Neurology (Psychiatry)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 966-4166
ESTHER MIAH MD
Psychiatry & Neurology (Psychiatry)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (984) 974-2194
DR. ANNA SPAGNOLI MD
Pediatrics (Pediatric Endocrinology)
101 MANNING DRIVE
CHAPEL HILL, NC 27599
Orange County (919) 966-4435

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 Collette Tilly's NPI number?

The NPI number for Collette Tilly is 1255969960. It was assigned to this individual provider in the NPPES registry on March 29, 2020.

Where is Collette Tilly located?

Collette Tilly practices at 101 Manning Drive, Chapel Hill, NC 27599. The listed phone number is (919) 962-3624.

What is Collette Tilly's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Collette Tilly enrolled in Medicare?

Yes. Collette Tilly is registered in the Medicare PECOS enrollment system.

What insurance does Collette Tilly accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Collette Tilly 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 Collette Tilly was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.