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COURTENAY L TILLMAN FNP-BC
NPI 1285746941
Nurse Practitioner - Family in Statesboro, GA

Active since August 31, 2006
586 BRANNEN ST, STATESBORO, GA 30458(912) 871-6611(912) 871-6612 Get Directions Write a Review

NPPES record last updated: September 1, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Courtenay L Tillman Fnp-bc NPPES

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

COURTENAY L TILLMAN FNP-BC (NPI 1285746941) is an individual family provider in Statesboro, Georgia, licensed in Georgia (RN 159370NP) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1285746941
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTENAY L TILLMANCredential: FNP-BC
Location Address586 BRANNEN STStatesboro, GA 30458-5557
Mailing Address586 Brannen StStatesboro, GA 30458-5557 · (912) 871-6611 · Fax (912) 871-6612
Phone(912) 871-6611
Fax(912) 871-6612
Sole ProprietorNo
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 1, 2015
✔ NPI 1285746941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN 159370NP
586 BRANNEN ST, Statesboro, GA 30458
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Other Identifiers 5

OtherP00351681GA · Railroad Medicare
Medicare UPINQ68290GA
Medicaid901106018AGA
Medicare PIN50BBKGVGA
Other061407GA · Bc/bs Of Ga Group #

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.

MARIAN J MARRERO PA-C
Physician Assistant
586 BRANNEN ST
STATESBORO, GA 30458
Bulloch County (912) 871-6611
APPLECARE LLC
Clinic/Center (Urgent Care)
586 BRANNEN ST
STATESBORO, GA 30458
Bulloch County (912) 871-6611
MRS. TERESA BROWER CHENEY FNP
Nurse Practitioner (Family)
586 BRANNEN ST
STATESBORO, GA 30458
Bulloch County (912) 871-6611
TATIYANA LUKE APRN
Nurse Practitioner (Family)
586 BRANNEN ST
STATESBORO, GA 30458
Bulloch County (912) 871-6611
KAREN M HONIKEL PHYSICIAN ASSISTANT
Physician Assistant (Medical)
586 BRANNEN ST
STATESBORO, GA 30458
Bulloch County (912) 871-6611

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 Courtenay Tillman's NPI number?

The NPI number for Courtenay Tillman is 1285746941. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Courtenay Tillman located?

Courtenay Tillman practices at 586 Brannen St, Statesboro, GA 30458. The listed phone number is (912) 871-6611.

What is Courtenay Tillman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Courtenay Tillman was last updated on September 1, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.