KELLY TILLMAN
NPI 1518337278
Nurse Practitioner - Family in Statesboro, GA
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
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Tillman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kelly Tillman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Statesboro, GA 30458
- Reassigned Medicare billing, Georgia enrollment
- 5 clinicians in this Medicare group
Savannah, GA 31404
- Reassigned Medicare billing, Georgia enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
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.
Which organizations bill Medicare for Kelly Tillman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Tillman reassigns Medicare benefits to 2 organizations: Family Health Care Center, PC (Statesboro, GA) and Georgia Emergency Physician Specialists (Savannah, GA). Each 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 Kelly Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 6 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.
# Kelly Tillman · NPI 1518337278
Family physician in Statesboro, Georgia. Individual provider, active in the CMS NPPES registry since October 6, 2015.
## Identity
- **NPI:** 1518337278 (Entity type: Individual)
- **Enumerated:** October 6, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN161574 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 23702 HWY 80 E, Statesboro, GA 30461-0845
- **Phone:** (912) 489-4090
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Family Health Care Center, PC (NPI 1205855988, Statesboro, GA); Georgia Emergency Physician Specialists (NPI 1285685156, Savannah, GA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1518337278) · Data from the CMS NPPES public registry.