TILLIAM PITTMAN PA-C
NPI 1679235212
Physician Assistant - Medical in Memphis, TN

Q: What is Tilliam Pittman's NPI number?

The NPI number for Tilliam Pittman is 1679235212. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Q: What is Tilliam Pittman'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 Tilliam Pittman was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 11, 2021PECOS EnrolledAccepts Medicare Assignment

1301 PRIMACY PKWY, MEMPHIS, TN 38119(901) 866-8630(901) 302-2630 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 26, 2025, Jun 5, 2023, Oct 11, 2021 (3 updates tracked since 2021).

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About Tilliam Pittman Pa-c NPPES

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

TILLIAM PITTMAN PA-C (NPI 1679235212) is an individual medical provider in Memphis, Tennessee, licensed in Tennessee (4794) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1679235212

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameTILLIAM PITTMANCredential: PA-C

Location Address1301 PRIMACY PKWYMemphis, TN 38119-0213

Mailing Address1068 Cresthaven Rd Ste 300Memphis, TN 38119-0809 · (901) 866-8864

Phone(901) 866-8630

Fax(901) 302-2630

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 11, 2021

Last NPPES UpdateMarch 26, 20253 updates tracked since enumeration

NPPES CertifiedMarch 26, 2025

✔ NPI 1679235212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363AM0700X

License✔ Licensed in TN · 4794

Also ListedPhysician AssistantTaxonomy 363A00000X

1301 PRIMACY PKWY, Memphis, TN 38119

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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

Tilliam Pittman 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 ID2163884446

PECOS Enrollment IDI20230818000051

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.

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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.

DR. CHRISTINA BROWN TRAN MD

Family Medicine