TARA M TILTON I PA-C
NPI 1841437761
Physician Assistant - Surgical in Kingsport, TN

Active since January 14, 2009
999 EXECUTIVE PARK BLVD, SUITE 102, KINGSPORT, TN 37660(423) 578-1518(423) 230-6349 Get Directions Write a Review

NPPES record last updated: March 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tara M Tilton I Pa-c NPPES

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

TARA M TILTON I PA-C (NPI 1841437761) is an individual surgical provider in Kingsport, Tennessee, licensed in Tennessee (1691) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1841437761
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameTARA M TILTON ICredential: PA-C
Location Address999 EXECUTIVE PARK BLVD, SUITE 102Kingsport, TN 37660-4632
Mailing Address999 Executive Park Blvd, Suite 102Kingsport, TN 37660-4632 · (423) 578-1518 · Fax (423) 230-6350
Fax(423) 230-6349
Sole ProprietorNo
Enumeration DateJanuary 14, 2009
Last NPPES UpdateMarch 5, 2010
NPI 1841437761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in TN · 1691
Also ListedPhysician AssistantTaxonomy 363A00000X · License 1691 (TN)
999 EXECUTIVE PARK BLVD, Kingsport, TN 37660

Other Identifiers 2

Medicaid1512613TN
Other3665354TN · Medicare Id

Other Providers at the Same Location NPPES 6

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

Specialist
999 EXECUTIVE PARK BLVD, SUITE #102
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660
Internal Medicine
999 EXECUTIVE PARK BLVD, SUITE 201
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660
Nurse Anesthetist, Certified Registered
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660
Clinic/Center (Ambulatory Surgical)
999 EXECUTIVE PARK BLVD, SUITE 100
KINGSPORT, TN 37660

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 Tara Tilton's NPI number?

The NPI number for Tara Tilton is 1841437761. It was assigned to this individual provider in the NPPES registry on January 14, 2009.

Where is Tara Tilton located?

Tara Tilton practices at 999 Executive Park Blvd Suite 102, Kingsport, TN 37660. The listed phone number is (423) 578-1518.

What is Tara Tilton's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Tara Tilton was last updated on March 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.