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TILLMAN MEDICAL GROUP PA
NPI 1922124312
Specialist in Jonesville, LA

Active since March 21, 2007
800 AUDUBON DR, JONESVILLE, LA 71343(318) 339-4112(318) 339-6388 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Tillman Medical Group Pa NPPES

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

TILLMAN MEDICAL GROUP PA (NPI 1922124312) is a healthcare organization registered as a specialist in Jonesville, Louisiana and active in the NPI registry since March 2007. The organization lists Susan Davis, Administrator, as its authorized official.

NPPES Registry Identity

NPI1922124312
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTILLMAN MEDICAL GROUP PA
Location Address800 AUDUBON DRJonesville, LA 71343
Mailing Address800 Audubon DrJonesville, LA 71343 · (318) 339-4112 · Fax (318) 339-6388
Phone(318) 339-4112
Fax(318) 339-6388
Organization SubpartNo
Authorized OfficialSusan DavisAdministrator · (318) 339-4112
Enumeration DateMarch 21, 2007
Last NPPES UpdateJuly 8, 2008
✔ NPI 1922124312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in LA · 07480R
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
800 AUDUBON DR, Jonesville, LA 71343
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Other Identifiers 2

Medicaid1447498LA
Medicare OSCAR/certification193858LA

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

Other Providers at the Same Location NPPES 5

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

MATTHEW KENNEDY PA-C
Physician Assistant
800 AUDUBON DR
JONESVILLE, LA 71343
Catahoula Parish (318) 657-2273
FRANKLIN PARISH HOSPITAL SERVICE DIST 1
Clinic/Center (Rural Health)
800 AUDUBON DR
JONESVILLE, LA 71343
Catahoula Parish (318) 657-2273
JONESVILLE FAMILY HEALTHCARE
Clinic/Center (Rural Health)
800 AUDUBON DR
JONESVILLE, LA 71343
Catahoula Parish (318) 657-2273
TEAM HEALTH CARE LLC
Physician Assistant
800 AUDUBON DR
JONESVILLE, LA 71343
Catahoula Parish (318) 545-7840
TEAM URGENT CARE LLC
Physician Assistant (Medical)
800 AUDUBON DR
JONESVILLE, LA 71343
Catahoula Parish (318) 545-7840

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 Tillman Medical Group PA's NPI number?

The NPI number for Tillman Medical Group PA is 1922124312. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Tillman Medical Group PA located?

Tillman Medical Group PA is located at 800 Audubon Dr, Jonesville, LA 71343. The listed phone number is (318) 339-4112.

What is Tillman Medical Group PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Tillman Medical Group PA was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.