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: July 19, 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 and maintains a secondary practice location in Huntsville.

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
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.

575 STANTON RD, Mobile, AL 36617

Other Names 1

Former Name (1)Kelly Lynn Tillman

Secondary Practice Location 1

Location 11802 Cross Creek Rd SEHuntsville, AL 35802-3970 · Phone (256) 603-4292

Accepted 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.

Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Clinic/Center (Multi-Specialty)
575 STANTON RD
MOBILE, AL 36617
Hospitalist
575 STANTON RD
MOBILE, AL 36617
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Nurse Practitioner (Family)
575 STANTON RD
MOBILE, AL 36617
Internal Medicine
575 STANTON RD
MOBILE, AL 36617
Internal Medicine
575 STANTON RD
MOBILE, AL 36617

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467063073, enumerated as an "individual" on August 17, 2020.

The provider is located at 575 STANTON RD MOBILE, AL 36617 and the phone number is (251) 471-7207.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Molina Healthcare and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.