JANICE JOHNSON TILLMAN FNP-BC
NPI 1497380711
Nurse Practitioner - Family in Jackson, MS

Q: What is Janice Tillman's NPI number?

The NPI number for Janice Tillman is 1497380711. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Q: What is Janice Tillman's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Janice Tillman was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 March 06, 2020PECOS Enrolled

5429 ROBINSON ROAD EXT, JACKSON, MS 39204(601) 914-0163(601) 914-0170 Get Directions Write a Review

NPPES record last updated: June 21, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 21, 2021, Mar 6, 2020 (2 updates tracked since 2020).

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About Janice Johnson Tillman Fnp-bc NPPES

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

JANICE JOHNSON TILLMAN FNP-BC (NPI 1497380711) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (904041) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Edwards.

NPPES Registry Identity

NPI1497380711

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJANICE JOHNSON TILLMANCredential: FNP-BC

Location Address5429 ROBINSON ROAD EXTJackson, MS 39204-4138

Mailing Address2050 Russell J Tillman RdEdwards, MS 39066-9101 · (601) 988-3728

Phone(601) 914-0163

Fax(601) 914-0170

Sole ProprietorNo

Enumeration DateMarch 6, 2020

Last NPPES UpdateJune 21, 20212 updates tracked since enumeration

NPPES CertifiedJune 21, 2021

✔ NPI 1497380711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 904041

Also ListedRegistered NurseTaxonomy 163W00000X · License 884780 (MS)

5429 ROBINSON ROAD EXT, Jackson, MS 39204

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Secondary Practice Location 1

Location 12050 Russell J Tillman RdEdwards, MS 39066-9101 · Phone (601) 988-3728

Accepted Insurance

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

Janice Johnson Tillman Fnp-bc 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 39204 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL MISSISSIPPI HEALTH SERVICES, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))

5429 ROBINSON ROAD EXT
JACKSON, MS 39204

Hinds County (601) 948-5572

DR. SAMUEL CHINWUBA OKOYE MD

Family Medicine

5429 ROBINSON ROAD EXT
JACKSON, MS 39204

Hinds County (601) 914-0163

DENETTA ROSS FNP-C

Nurse Practitioner (Family)

5429 ROBINSON ROAD EXT
JACKSON, MS 39204

Hinds County (601) 914-0163

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 Janice Tillman's NPI number?

The NPI number for Janice Tillman is 1497380711. It was assigned to this individual provider in the NPPES registry on March 6, 2020.

Where is Janice Tillman located?

Janice Tillman practices at 5429 Robinson Road Ext, Jackson, MS 39204. The listed phone number is (601) 914-0163.

What is Janice Tillman's specialty?

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

Is Janice Tillman enrolled in Medicare?

Yes. Janice Tillman is registered in the Medicare PECOS enrollment system.

What insurance does Janice Tillman accept?

Health plans from Molina Healthcare list Janice Tillman 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 Janice Tillman was last updated on June 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.