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KELLY TILLMAN CALDWELL PA-C
NPI 1467063073
Physician Assistant in Mobile, AL

Active since August 17, 2020PECOS Enrolled
96.56/100
CMS Quality Rating
575 STANTON RD, MOBILE, AL 36617(251) 471-7207(251) 471-7468 Get Directions Write a Review

NPPES record last updated: July 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2022, Aug 17, 2020 (2 updates tracked since 2020).

About Kelly Tillman Caldwell Pa-c NPPES

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

KELLY TILLMAN CALDWELL PA-C (NPI 1467063073) is an individual physician assistant in Mobile, Alabama, licensed in Alabama (1849) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467063073
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY TILLMAN CALDWELLCredential: PA-C
Location Address575 STANTON RDMobile, AL 36617-2344
Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (251) 434-3626 · Fax (251) 445-2464
Phone(251) 471-7207
Fax(251) 471-7468
Sole ProprietorYes
Enumeration DateAugust 17, 2020
Last NPPES UpdateJuly 6, 20222 updates tracked since enumeration
NPPES CertifiedJuly 6, 2022
✔ NPI 1467063073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AL · 1849
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
575 STANTON RD, Mobile, AL 36617
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Other Names 1

Former Name (1)Kelly Lynn Tillman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, UnitedHealthcare.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)

Kelly Tillman Caldwell Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36617 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.76
Promoting Interoperability100
Improvement Activities40

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.

RACHEL WILSON BEEBE PA-C
Physician Assistant
575 STANTON RD
MOBILE, AL 36617
Mobile County (251) 471-7207
HARIS MANAN MD
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Mobile County (251) 471-7207
LINDSAY NORRIS
Nurse Practitioner (Family)
575 STANTON RD
MOBILE, AL 36617
Mobile County (251) 471-7207
GARRETT THOMAS TOBIN MD
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Mobile County (251) 471-7207
MATTHEW DAVID GRIBBLE MD
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Mobile County (251) 471-7207
MRS. LENA MYNATT ELDRIDGE CRNP
Nurse Practitioner (Acute Care)
575 STANTON RD
MOBILE, AL 36617
Mobile County (251) 445-8282
DR. LORI C. WHITE M.D.
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Mobile County (251) 471-7207
JOHN C. SCHULTZ MD
Hospitalist
575 STANTON RD
MOBILE, AL 36617
Mobile County (251) 471-7207

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 Kelly Caldwell's NPI number?

The NPI number for Kelly Caldwell is 1467063073. It was assigned to this individual provider in the NPPES registry on August 17, 2020. The provider is also known as Kelly Lynn Tillman.

Where is Kelly Caldwell located?

Kelly Caldwell practices at 575 Stanton Rd, Mobile, AL 36617. The listed phone number is (251) 471-7207.

What is Kelly Caldwell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Caldwell enrolled in Medicare?

Yes. Kelly Caldwell is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Caldwell accept?

Health plans from Molina Healthcare and UnitedHealthcare list Kelly Caldwell 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 Kelly Caldwell was last updated on July 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.