Provider Profile

Kenosha L. Tillman, NURSE PRACTITIONER

Unclaimed Profile

About Kenosha Tillman

Kenosha L. Tillman, NURSE PRACTITIONER is a nurse practitioner based in Fairburn, GA. Kenosha is also listed as specializing in nurse practitioner — psychiatric/mental health. The provider's National Provider Identifier (NPI) is 1275886103.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2022

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

GA licenceAs reported to the NPI registry
No. GAA-NP000960As reported
NPINational Provider Identifier
1275886103Issued 2012

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentYes
Telehealth reported to CMSYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Kenosha L. Tillman?

Kenosha L. Tillman is a nurse practitioner in Fairburn, GA. That is the designation recorded for this NPI in the federal registry.

NPI registry

What is Kenosha L. Tillman's address?

Kenosha L. Tillman is listed at 5220 Rosewood Pl, Fairburn, GA 30213. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Kenosha L. Tillman?

The number on file is (901) 277-7086. Contact the office directly to confirm availability and scheduling.

NPI registry

What is the NPI for Kenosha L. Tillman?

Kenosha L. Tillman's National Provider Identifier is 1275886103. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Kenosha L. Tillman train?

Kenosha L. Tillman attended Other, graduating in 2022. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Kenosha L. Tillman have?

Kenosha L. Tillman has 4 years experience. Calculated from a graduation year of 2022, reported in the CMS National Downloadable File.

CMS public data

Is Kenosha L. Tillman's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Kenosha L. Tillman. If this is you, claiming it is free.

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