JOHN MARTIN TILLEY (NPI# 1083770655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083770655 |
Entity Type | Individual |
Full Name | JOHN MARTIN TILLEY |
Credential | OTR L |
Practice Address |
801 Bolling Cv Lawrenceville GA 30045-2430 |
Practice Telephone | 6784428109 |
Practice Fax Number | 6784425995 |
Mailing Telephone | 6784428109 |
Mailing Fax Number | 6784425995 |
Enumeration Date | 2006-12-28 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | OT002798 | GA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578640363 | John L Tilley | Psychologist | 20 South Third Street, Suite 210, Columbus, OH 43215 | 2006-11-01 |
1457702649 | John Ryan Tilley | Podiatrist | 1310 24th Ave S, Nashville, TN 37212-2637 | 2016-06-29 |
1750702270 | John Tilley | Pharmacist | 11411 Brookshire Ave, Suite #107, Downey, CA 90241-5026 | 2013-12-31 |
1730444175 | John Tilley | Physician Assistant | 1321 Colby Ave, Everett, WA 98201-1665 | 2012-07-11 |
1568519486 | John W. Tilley Jr. | Internal Medicine | 1616 Cornwall Ave, 205, Bellingham, WA 98225-4648 | 2007-01-04 |
1164420691 | John Michael Tilley | Family Medicine | 2300 Highland Village Rd, Ste 600, Highland Village, TX 75077-7148 | 2005-07-08 |
Street Address |
801 BOLLING CV |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30045-2430 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
Find all providers in zip 30045 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184048209 | Daniel Long | Specialist | 233 Moorland Way, Lawrenceville, GA 30043 | 2014-02-10 |
1396188876 | East Metro Primary Care | Specialist | 325 Lester Rd Nw, Suite C, Lawrenceville, GA 30044-4024 | 2013-04-15 |
1861710998 | Georgia Quality Kidney Care, LLC | Specialist | 170 Camden Hill Road, Suite F, Lawrenceville, GA 30046 | 2010-05-13 |
1508005141 | Bobby Walker | Specialist | 450 Sweet Ivy Ln, Lawrenceville, GA 30043-3068 | 2009-02-05 |
1023265873 | Accurate Medical Diagnostics, LLC | Specialist | 1498 Dulwich Ct, Lawrenceville, GA 30043-7535 | 2008-08-23 |
1265604896 | Gwinnett Sportherapy | Specialist | 965 Oakland Rd Ste 2c, Lawrenceville, GA 30044-3758 | 2008-03-24 |
1437270923 | Crelvis, Inc. | Specialist | 271-a S Culver St, Lawrenceville, GA 30045-4805 | 2007-04-02 |
1982747465 | Dana Lynn Prater | Specialist | 386 Windsor Farms Dr, Lawrenceville, GA 30045-6068 | 2007-02-15 |
1265509376 | Jennie Nichole Stokes | Specialist | 1688 Lawrenceville Hwy, Lawrenceville, GA 30044-4608 | 2006-11-30 |
1154498566 | Edfirst Medical Center | Specialist | 336 Valley Rd, Lawrenceville, GA 30044-4167 | 2006-11-29 |
Find all providers in LAWRENCEVILLE |
City | LAWRENCEVILLE |
Zip Code | 30045 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.