OrganizationActive
Tillman Medical Group PA
NPI 1922124312 · Specialist · Jonesville, LA
Tillman Medical Group PA is a Specialist organization in Jonesville, LA (NPI 1922124312).
Provider details
- NPI number
- 1922124312
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Susan Davis, Administrator(318) 339-4112
- License
- 07480R (LA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(89/100 index)
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
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
800 Audubon Dr
Jonesville, LA 71343
Phone: (318) 339-4112
Fax: (318) 339-6388
Street-level locationGet directions
Mailing address
800 Audubon Dr
Jonesville, LA 71343
Registry dates
- Enumerated
- 2007-03-21
- Last updated
- 2008-07-08
Frequently asked questions
- What is Tillman Medical Group PA's NPI number?
- Tillman Medical Group PA's National Provider Identifier (NPI) is 1922124312, 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 800 Audubon Dr, Jonesville, LA 71343.
- 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) 339-4112.
- Who is the authorized official for Tillman Medical Group PA?
- The authorized official listed on Tillman Medical Group PA's NPPES record is Susan Davis, Administrator. 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 (1922124312) is active in the NPPES registry as of the last update on 2008-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.