MR. MICHAEL ANDREW TILLERY PA-C
NPI 1558725580
Physician Assistant - Medical in Greensboro, NC

Q: What is Michael Tillery's NPI number?

The NPI number for Michael Tillery is 1558725580. It was assigned to this individual provider in the NPPES registry on April 6, 2016.

Q: What is Michael Tillery's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Michael Tillery was last updated on August 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment

1126 N CHURCH ST STE 300, GREENSBORO, NC 27401(336) 938-0800 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Michael Andrew Tillery Pa-c NPPES

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

MR. MICHAEL ANDREW TILLERY PA-C (NPI 1558725580) is an individual medical provider in Greensboro, North Carolina, licensed in North Carolina (0010-06349) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and maintains a secondary practice location in Greensboro.

NPPES Registry Identity

NPI1558725580

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. MICHAEL ANDREW TILLERYCredential: PA-C

Location Address1126 N CHURCH ST STE 300Greensboro, NC 27401-1037

Mailing Address1200 N Elm St, Advanced Heart Failure ClinicGreensboro, NC 27401-1004 · (336) 862-9292 · Fax (336) 832-9293

Phone(336) 938-0800

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateApril 6, 2016

Last NPPES UpdateAugust 25, 2021

NPPES CertifiedAugust 25, 2021

✔ NPI 1558725580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NC · 0010-06349

1126 N CHURCH ST STE 300, Greensboro, NC 27401

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Secondary Practice Location 1

Location 11200 N Elm St, Advanced Heart Failure ClinicGreensboro, NC 27401-1004 · Phone (336) 862-9292 · Fax (336) 832-9293

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc 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 and accepts Medicare assignment

Mr. Michael Andrew Tillery Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577855527

PECOS Enrollment IDI20160712001205

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

148 services137 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

105 services98 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number340091

Location1200 N Elm StGreensboro, NC 27401 · Guilford County

Emergency services Birthing friendly

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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.

ZANE DEXTER ADAMS

Physician Assistant