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KELLY TILLMAN
NPI 1518337278
Nurse Practitioner - Family in Statesboro, GA

Active since October 06, 2015PECOS Enrolled
23702 HWY 80 E, STATESBORO, GA 30461(912) 489-4090 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 27, 2020, May 4, 2020 (2 updates tracked since 2020).

About Kelly Tillman NPPES

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

KELLY TILLMAN (NPI 1518337278) is an individual family provider in Statesboro, Georgia, licensed in Georgia (RN161574) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518337278
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKELLY TILLMAN
Location Address23702 HWY 80 EStatesboro, GA 30461-0845
Mailing Address4700 Waters AveSavannah, GA 31404-6220
Phone(912) 489-4090
Sole ProprietorYes
Enumeration DateOctober 6, 2015
Last NPPES UpdateOctober 27, 20202 updates tracked since enumeration
NPPES CertifiedOctober 27, 2020
✔ NPI 1518337278 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 · RN161574
23702 HWY 80 E, Statesboro, GA 30461
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 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 30461 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 4

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

KELLIE WHITENER
Nurse Practitioner (Family)
23702 HWY 80 E
STATESBORO, GA 30461
Bulloch County (912) 489-4090
MALINI STEWART RDN
Dietitian, Registered
23702 HWY 80 E
STATESBORO, GA 30461
Bulloch County (912) 489-4090
ANGELA MARIE DAVIS M.D.
Family Medicine
23702 HWY 80 E
STATESBORO, GA 30461
Bulloch County (912) 489-4090
AMY JO RIGGS RD, LD
Dietitian, Registered
23702 HWY 80 E
STATESBORO, GA 30461
Bulloch County (912) 489-4090

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 Tillman's NPI number?

The NPI number for Kelly Tillman is 1518337278. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Kelly Tillman located?

Kelly Tillman practices at 23702 Hwy 80 E, Statesboro, GA 30461. The listed phone number is (912) 489-4090.

What is Kelly Tillman's specialty?

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

Is Kelly Tillman enrolled in Medicare?

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

What insurance does Kelly Tillman accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Kelly 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 Kelly Tillman was last updated on October 27, 2020. 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.