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DR. MARY KATE TILLMAN M.D.
NPI 1669451092
Pediatrics in Summerville, SC

Active since January 13, 2006
202 BENTONS LODGE RD, SUMMERVILLE, SC 29485(843) 871-2588(843) 871-1664 Get Directions Write a Review

NPPES record last updated: March 27, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Kate Tillman M.d. NPPES

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

DR. MARY KATE TILLMAN M.D. (NPI 1669451092) is an individual pediatrics provider in Summerville, South Carolina, licensed in South Carolina (16816) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1669451092
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY KATE TILLMANCredential: M.D.
Location Address202 BENTONS LODGE RDSummerville, SC 29485-6322
Mailing Address202 Bentons Lodge RdSummerville, SC 29485-6322 · (843) 871-2588 · Fax (843) 871-1664
Phone(843) 871-2588
Fax(843) 871-1664
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateMarch 27, 2017
✔ NPI 1669451092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · 16816
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

202 BENTONS LODGE RD, Summerville, SC 29485
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Other Identifiers 2

Medicaid168160SC
Medicare UPING01759SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and more.Insurance ›

Other Providers at the Same Location NPPES 5

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

DR. ESTHER SPIEGLE WILSON MD
Pediatrics
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588
DR. REBECCA MICHELLE CAFIERO MD
Pediatrics
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588
MARY LOU KORPON CPNP
Nurse Practitioner (Pediatrics)
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588
JESSICA LITSEY M.D.
Pediatrics
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588
HANNAH WINNINGHAM
Nurse Practitioner (Pediatrics)
202 BENTONS LODGE RD
SUMMERVILLE, SC 29485
Dorchester County (843) 871-2588

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 Mary Kate Tillman's NPI number?

The NPI number for Mary Kate Tillman is 1669451092. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Mary Kate Tillman located?

Mary Kate Tillman practices at 202 Bentons Lodge Rd, Summerville, SC 29485. The listed phone number is (843) 871-2588.

What is Mary Kate Tillman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Mary Kate Tillman accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, First Choice Next and UnitedHealthcare list Mary Kate 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 Mary Kate Tillman was last updated on March 27, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.