Kelly Tiller, PA-C
NPI 1760557920 · Physician Assistant · Greenville, NC
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kelly Tiller, PA-C is a Physician Assistant provider in Greenville, NC (NPI 1760557920).
Provider details
- NPI number
- 1760557920
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 0110006584 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 225 Clearfield AveVirginia Beach, VA 23462-1815Phone: (757) 457-5100Fax: (757) 961-3696
Registry dates
- Enumerated
- 2006-11-22
- Last updated
- 2019-06-27
Frequently asked questions
- What is Kelly Tiller's NPI number?
- Kelly Tiller's National Provider Identifier (NPI) is 1760557920, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Tiller's specialty?
- Kelly Tiller is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kelly Tiller located?
- Kelly Tiller's practice location on file with NPPES is 2100 Stantonsburg Road, Greenville, NC 27834.
- What is Kelly Tiller's phone number?
- The practice phone number listed in the NPPES registry for Kelly Tiller is (252) 847-2619.
- Does Kelly Tiller accept Medicare?
- Kelly Tiller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kelly Tiller's NPI active?
- Yes — Kelly Tiller's NPI (1760557920) is active in the NPPES registry as of the last update on 2019-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.