MS. CANDACE MARVENIA TILLMAN RNC, MS, WHNP-BC
NPI 1871865113
Nurse Practitioner - Adult Health in Conyers, GA
About Ms. Candace Marvenia Tillman Rnc, Ms, Whnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CANDACE MARVENIA TILLMAN RNC, MS, WHNP-BC (NPI 1871865113) is an individual adult health provider in Conyers, Georgia, licensed in Georgia (RN142932) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
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
Ms. Candace Marvenia Tillman Rnc, Ms, Whnp-bc 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 30012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Candace Tillman's NPI number?
The NPI number for Candace Tillman is 1871865113. It was assigned to this individual provider in the NPPES registry on February 2, 2012.
Where is Candace Tillman located?
Candace Tillman practices at 3230 Old Church Cv NE, Conyers, GA 30012. The listed phone number is (678) 221-8855.
What is Candace Tillman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Candace Tillman enrolled in Medicare?
Yes. Candace 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.
When was this NPI record last updated?
The NPPES record for Candace Tillman was last updated on September 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Ms. Candace Marvenia Tillman, RNC, MS, WHNP-BC · NPI 1871865113
Adult Health physician in Conyers, Georgia. Individual provider, active in the CMS NPPES registry since February 2, 2012.
## Identity
- **NPI:** 1871865113 (Entity type: Individual)
- **Enumerated:** February 2, 2012
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** RN142932 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 3230 OLD CHURCH CV NE, Conyers, GA 30012-2647
- **Phone:** (678) 221-8855
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 8, 2024
- **Other identifiers:** Other RN142932 (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1871865113) · Data from the CMS NPPES public registry.