Tillman Medical Group PA
NPI 1043260615 · Specialist · Vidalia, LA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tillman Medical Group PA is a Specialist organization in Vidalia, LA (NPI 1043260615).
Provider details
- NPI number
- 1043260615
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Tana Archer, Accounts Manager(318) 336-2216
- License
- 5D595 (LA)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-05-12
- Last updated
- 2013-06-04
Frequently asked questions
- What is Tillman Medical Group PA's NPI number?
- Tillman Medical Group PA's National Provider Identifier (NPI) is 1043260615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tillman Medical Group PA?
- Tillman Medical Group PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Tillman Medical Group PA located?
- Tillman Medical Group PA's practice location on file with NPPES is 107 Front St, Vidalia, LA 71373-2836.
- What is Tillman Medical Group PA's phone number?
- The practice phone number listed in the NPPES registry for Tillman Medical Group PA is (318) 336-2216.
- Does Tillman Medical Group PA accept Medicare?
- Tillman Medical Group PA is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tillman Medical Group PA?
- The authorized official listed on Tillman Medical Group PA's NPPES record is Tana Archer, Accounts Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tillman Medical Group PA's NPI active?
- Yes — Tillman Medical Group PA's NPI (1043260615) is active in the NPPES registry as of the last update on 2013-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.