TILLMAN HALL CRNA
NPI 1972076859
Nurse Anesthetist, Certified Registered in Dothan, AL

Active since January 03, 2019Accepts Medicare Assignment
4370 W MAIN ST, DOTHAN, AL 36305(334) 793-5000 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tillman Hall Crna NPPES

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

TILLMAN HALL CRNA (NPI 1972076859) is an individual nurse anesthetist, certified registered in Dothan, Alabama, licensed in Alabama (1-148881) and active in the NPI registry since January 2019. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1972076859
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameTILLMAN HALLCredential: CRNA
Location Address4370 W MAIN STDothan, AL 36305-1056
Mailing Address105 Porch CtDothan, AL 36305-5803
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 3, 2019
✔ NPI 1972076859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 1-148881
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
4370 W MAIN ST, Dothan, AL 36305

Accepted 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

Tillman Hall Crna 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 ID3274871611
PECOS Enrollment IDI20190211002408

Medicare Billing Reassignments

3

Medicare enrollment records show Tillman Hall reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 74 clinicians in this Medicare group
Emergency Medicine
4370 W MAIN ST
Dothan, AL 36305
  • Reassigned Medicare billing, Alabama enrollment
  • 252 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
1200 W MAPLE AVE
Geneva, AL 36340
  • Reassigned Medicare billing, Alabama enrollment
  • 3 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36305 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
$122.31 typical visit price
range $52.65 – $161.63
Typical copayment $30.57 (range $13.16 – $40.40)
Most-billed visit code 99204
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
Most-billed visit code 99213
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 20

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

Radiology (Diagnostic Radiology)
4370 W MAIN ST
DOTHAN, AL 36305
Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
DOTHAN, AL 36305
Nurse Anesthetist, Certified Registered
4370 W MAIN ST
DOTHAN, AL 36305
Anesthesiology
4370 W MAIN ST, ANESTHESIA DEPT
DOTHAN, AL 36305
Urology
4370 W MAIN ST
DOTHAN, AL 36305
Nurse Anesthetist, Certified Registered
4370 W MAIN ST
DOTHAN, AL 36305
Nurse Practitioner (Family)
4370 W MAIN ST
DOTHAN, AL 36305
Student in an Organized Health Care Education/Training Program
4370 W MAIN ST
DOTHAN, AL 36305

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 Hall's NPI number?

The NPI number for Tillman Hall is 1972076859. It was assigned to this individual provider in the NPPES registry on January 3, 2019.

Where is Tillman Hall located?

Tillman Hall practices at 4370 W Main St, Dothan, AL 36305. The listed phone number is (334) 793-5000.

What is Tillman Hall's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tillman Hall enrolled in Medicare?

Yes. Tillman Hall 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 Tillman Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tillman Hall reassigns Medicare benefits to 3 organizations: Dothan Anesthesiology Associates PC (Dothan, AL), Flowers Hb Medical Services LLC (Dothan, AL) and Geneva County Healthcare Authority Inc (Geneva, 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 Tillman Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tillman Hall accept?

Health plans from Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Tillman Hall 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 Tillman Hall was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.