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JOHNATHON RANDOLPH TILLMAN FNP-C
NPI 1730026030
Nurse Practitioner in Cordele, GA

Active since May 04, 2026
114 TIMBERLAND DR, CORDELE, GA 31015(912) 944-8651 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johnathon Randolph Tillman Fnp-c NPPES

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

JOHNATHON RANDOLPH TILLMAN FNP-C (NPI 1730026030) is an individual nurse practitioner in Cordele, Georgia, licensed in Georgia (208890) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1730026030
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOHNATHON RANDOLPH TILLMANCredential: FNP-C
Location Address114 TIMBERLAND DRCordele, GA 31015-5136
Mailing Address114 Timberland DrCordele, GA 31015-5136 · (912) 944-8651
Phone(912) 944-8651
Sole ProprietorYes
Enumeration DateMay 4, 2026
NPPES CertifiedMay 4, 2026
✔ NPI 1730026030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · 208890
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
114 TIMBERLAND DR, Cordele, GA 31015
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Other Providers at the Same Location NPPES

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

LAURA LEIGH CARTER TILLMAN FNP-C
Nurse Practitioner
114 TIMBERLAND DR
CORDELE, GA 31015
Crisp County (229) 322-9869

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 Johnathon Tillman's NPI number?

The NPI number for Johnathon Tillman is 1730026030. It was assigned to this individual provider in the NPPES registry on May 4, 2026.

Where is Johnathon Tillman located?

Johnathon Tillman practices at 114 Timberland Dr, Cordele, GA 31015. The listed phone number is (912) 944-8651.

What is Johnathon Tillman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Johnathon Tillman was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.