MS. CANDACE MARVENIA TILLMAN RNC, MS, WHNP-BC
NPI 1871865113
Nurse Practitioner - Adult Health in Conyers, GA

Active since February 02, 2012PECOS EnrolledAccepts Medicare Assignment
3230 OLD CHURCH CV NE, CONYERS, GA 30012(678) 221-8855 Get Directions Write a Review

NPPES record last updated: September 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1871865113
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMS. CANDACE MARVENIA TILLMANCredential: RNC, MS, WHNP-BC
Location Address3230 OLD CHURCH CV NEConyers, GA 30012-2647
Mailing Address3230 Old Church Cv NeConyers, GA 30012-2647 · (678) 221-8855
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateFebruary 2, 2012
Last NPPES UpdateSeptember 8, 2024
NPPES CertifiedSeptember 8, 2024
NPI 1871865113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in GA · RN142932
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X · License RN142932 (GA)
3230 OLD CHURCH CV NE, Conyers, GA 30012

Other Identifiers 1

OtherRN142932GA · State Of Georgia

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.

PECOS PAC ID5597901470
PECOS Enrollment IDI20130419000241
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.

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.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871865113, enumerated as an "individual" on February 02, 2012.

The provider is located at 3230 OLD CHURCH CV NE CONYERS, GA 30012 and the phone number is (678) 221-8855.

Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.