TNTMD PA
NPI 1467867168
Ophthalmology in Jacksonville, FL

Q: What is Tntmd PA's NPI number?

The NPI number for Tntmd PA is 1467867168. It was assigned to this organization in the NPPES registry on June 23, 2014.

Q: What is Tntmd PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Tntmd PA was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since June 23, 2014

3890 DUNN AVE, SUITE 902, JACKSONVILLE, FL 32218(904) 345-3473(904) 208-5892 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Tntmd Pa NPPES

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

TNTMD PA (NPI 1467867168) is a healthcare organization registered as an ophthalmology in Jacksonville, Florida and active in the NPI registry since June 2014. The organization lists Tina N Tillis, Owner/ Provider, as its authorized official.

NPPES Registry Identity

NPI1467867168

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameTNTMD PA

Location Address3890 DUNN AVE, SUITE 902Jacksonville, FL 32218-6428

Mailing Address3890 Dunn Ave, Suite 902Jacksonville, FL 32218-6428 · (904) 345-3473 · Fax (904) 208-5892

Phone(904) 345-3473

Fax(904) 208-5892

Organization SubpartNo

Authorized OfficialTina N TillisOwner/ Provider · (904) 345-3473

Enumeration DateJune 23, 2014

✔ NPI 1467867168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME64518

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

3890 DUNN AVE, Jacksonville, FL 32218

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tntmd Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tntmd PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tina Tillis, MD

Ophthalmology

NPI 1174595318

3890 DUNN AVE #902
Jacksonville, FL 32218

(904) 345-3473

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Tntmd PA's NPI number?

The NPI number for Tntmd PA is 1467867168. It was assigned to this organization in the NPPES registry on June 23, 2014.

Where is Tntmd PA located?

Tntmd PA is located at 3890 Dunn Ave Suite 902, Jacksonville, FL 32218. The listed phone number is (904) 345-3473.

What is Tntmd PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Tntmd PA enrolled in Medicare?

Yes. Tntmd PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tntmd PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Ophthalmology) reassigns their Medicare billing to Tntmd PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tntmd PA accept?

Health plans from AvMed list Tntmd PA 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 Tntmd PA was last updated on June 23, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.