1. Home
  2. Directory
  3. Alabama
  4. Opelika
  5. Nurse Practitioner
  6. NPI Profile

DR. DERYUS TILLMAN DNP, NP-C
NPI 1821742594
Nurse Practitioner - Family in Opelika, AL

Active since February 10, 2022PECOS EnrolledAccepts Medicare Assignment
2564 ENTERPRISE DR, OPELIKA, AL 36801(205) 848-2273 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 5, 2025, Jan 8, 2025, Feb 10, 2022 (3 updates tracked since 2022).

About Dr. Deryus Tillman Dnp, Np-c NPPES

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

DR. DERYUS TILLMAN DNP, NP-C (NPI 1821742594) is an individual family provider in Opelika, Alabama, licensed in Alabama (1-197726) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1821742594
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. DERYUS TILLMANCredential: DNP, NP-C
Location Address2564 ENTERPRISE DROpelika, AL 36801-6860
Mailing Address48 Willow Trace DrPhenix City, AL 36869-7105 · (706) 799-3906
Phone(205) 848-2273
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 10, 2022
Last NPPES UpdateFebruary 5, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1821742594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · 1-197726✔ Licensed in GA · GAA-NP003150
2564 ENTERPRISE DR, Opelika, AL 36801
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and more.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

Dr. Deryus Tillman Dnp, Np-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 ID2668850967
PECOS Enrollment IDI20220527000111, I20221201002513
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Deryus Tillman reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Family Care, LLC
Same address
Primary Care
2544 ENTERPRISE DR
Opelika, AL 36801
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1730443524 (334) 528-9050
Stopwatch Urgent Care Centers LLC
2.9 mi
Urgent Care
2415 MOORES MILL RD, SUITE 230
Auburn, AL 36830
  • Reassigned Medicare billing, Alabama enrollment
  • 94 clinicians in this Medicare group
NPI 1841506458 (334) 502-1117
Children's Urgent Care, LLC
94 mi
Urgent Care
500 CAHABA PARK CIR, STE 100
Birmingham, AL 35242
  • Reassigned Medicare billing, Alabama enrollment
  • Medicare enrollment name: Childrens Urgent Care, LLC
  • 98 clinicians in this Medicare group
NPI 1124541438 (205) 848-2273
Peachtree Immediate Care Fp, LLC
96 mi
Family Medicine
3827 JIMMY LEE SMITH PKWY
Hiram, GA 30141
  • Reassigned Medicare billing, Alabama and Georgia enrollments
  • 13 clinicians in this Medicare group
NPI 1437194156 (770) 222-8900
Rural Urgent Care LLC
108 mi
Urgent Care
1925 W MAIN ST STE 120
Centre, AL 35960
  • Reassigned Medicare billing, Alabama and Georgia enrollments
  • 276 clinicians in this Medicare group
NPI 1932586476 (205) 545-5088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
248 services34 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
115 services58 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
75 services74 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.
53 services51 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
52 services41 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
41 services41 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36801 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

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

MRS. REBEKAH FILSON ANP-BC
Nurse Practitioner (Adult Health)
2564 ENTERPRISE DR
OPELIKA, AL 36801
Lee County (334) 933-6824
UNIVERSITY URGENT ORTHO PC
Clinic/Center (Urgent Care)
2564 ENTERPRISE DR
OPELIKA, AL 36801
Lee County (334) 399-9921

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 Deryus Tillman's NPI number?

The NPI number for Deryus Tillman is 1821742594. It was assigned to this individual provider in the NPPES registry on February 10, 2022.

Where is Deryus Tillman located?

Deryus Tillman practices at 2564 Enterprise Dr, Opelika, AL 36801. The listed phone number is (205) 848-2273.

What is Deryus Tillman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Deryus Tillman enrolled in Medicare?

Yes. Deryus 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 Deryus Tillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Deryus Tillman reassigns Medicare benefits to 5 organizations: American Family Care, LLC (Opelika, AL), Stopwatch Urgent Care Centers LLC (Auburn, AL), Children's Urgent Care, LLC (Birmingham, AL), Peachtree Immediate Care Fp, LLC (Hiram, GA) and Rural Urgent Care LLC (Centre, 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 Deryus Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Deryus Tillman accept?

Health plans from Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Deryus 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 Deryus Tillman was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.