MONIQUA SHANTAL TILLMAN MD
NPI 1568925816
Psychiatry & Neurology - Child & Adolescent Psychiatry in Gulfport, MS
About Moniqua Shantal Tillman Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MONIQUA SHANTAL TILLMAN MD (NPI 1568925816) is an individual child & adolescent psychiatry provider in Gulfport, Mississippi, licensed in Mississippi (33202) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Biloxi, and is a graduate of University Of Mississippi School Of Medicine (2019).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Moniqua Shantal Tillman Md 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.
Medicare Billing Reassignments
2Medicare enrollment records show Moniqua Tillman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Gulfport, MS 39503
- Reassigned Medicare billing, Mississippi enrollment
- 50 clinicians in this Medicare group
Madison, AL 35758
- Reassigned Medicare billing, Mississippi enrollment
- 13 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.
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 Moniqua Tillman's NPI number?
The NPI number for Moniqua Tillman is 1568925816. It was assigned to this individual provider in the NPPES registry on April 12, 2019.
Where is Moniqua Tillman located?
Moniqua Tillman practices at 11150 Us 49, Gulfport, MS 39503. The listed phone number is (228) 831-1700.
What is Moniqua Tillman's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.
Is Moniqua Tillman enrolled in Medicare?
Yes. Moniqua Tillman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Moniqua Tillman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Moniqua Tillman reassigns Medicare benefits to 2 organizations: Tbd Acquisition II, LLC (Gulfport, MS) and Integrated Behavioral Health, Inc. (Madison, AL). 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 Moniqua Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Moniqua Tillman accept?
Health plans from Blue Cross and Blue Shield of Alabama, Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. and UnitedHealthcare list Moniqua 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 Moniqua Tillman was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.
# Moniqua Shantal Tillman, MD · NPI 1568925816
Child & Adolescent Psychiatry physician in Gulfport, Mississippi. Individual provider, active in the CMS NPPES registry since April 12, 2019.
## Identity
- **NPI:** 1568925816 (Entity type: Individual)
- **Enumerated:** April 12, 2019
- **Primary specialty:** Psychiatry & Neurology - Child & Adolescent Psychiatry · taxonomy 2084P0804X
- **State license:** 33202 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 11150 US 49, Gulfport, MS 39503
- **Phone:** (228) 831-1700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): Tbd Acquisition II, LLC (NPI 1003324419, Gulfport, MS); Integrated Behavioral Health, Inc. (NPI 1730522699, Madison, AL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Mississippi School Of Medicine, class of 2019
## Record status
- **NPPES last updated:** March 11, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1568925816) · Data from the CMS NPPES public registry.