MICHAEL TILLERY (NPI# 1326595786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326595786 |
| Entity Type | Individual |
| Full Name | MICHAEL TILLERY |
| Credential | R.N. |
| Practice Address |
65 Sail Maker Ln Richmond Hill GA 31324-6260 |
| Practice Telephone | 6198045766 |
| Mailing Telephone | 6198045766 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WE0003X |
Registered Nurse Specialization: Emergency |
702631 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164980694 | Michael Tillery | Specialist/Technologist | 4350 Constellation Rd, Lompoc, CA 93436-1033 | 2019-03-04 |
| 1558725580 | Michael Andrew Tillery | Physician Assistant | 1200 N Elm St, Advanced Heart Failure Clinic, Greensboro, NC 27401-1004 | 2016-04-06 |
| 1356494462 | Michael Fredrick Tillery | Dentist | 3410 N High School Rd, Suite B, Indianapolis, IN 46224-1742 | 2007-01-19 |
| Street Address |
65 SAIL MAKER LN |
| City | RICHMOND HILL |
| State | GA |
| Zip Code | 31324-6260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902389588 | Bryan Anderson | Physician Assistant | 8435 Vanguard Road, Fort Stewart, GA 31324 | 2018-09-10 |
| 1366941684 | Codie Wiley | Physician Assistant | Expercare Urgent Care 60 Exchange Street, Suite B7, Richmond Hill, GA 31324 | 2018-02-02 |
| 1174038145 | Shelly Stewart Childers | Nurse Practitioner | 2453 U.S. 17, Suite G, Richmond Hill, GA 31324 | 2017-12-12 |
| 1619495215 | Kristi Oxley | Nurse Practitioner | 2701 Us Hwy 17 Ste 1b, Richmond Hill, GA 31324 | 2017-09-03 |
| 1275062564 | Janice Tillman Gravitt | Registered Nurse | 60 Long Creek Lane, Richmond Hill, GA 31324 | 2017-06-08 |
| 1336680065 | Choice Care Medical | Durable Medical Equipment & Medical Supplies | 9390 Ford Ave Ste 9, Richmond Hill, GA 31324 | 2017-03-14 |
| 1750730263 | Haralabos Saltourides | Physical Therapy Assistant | 127 Carter Street, Richmond Hill, GA 31324 | 2016-06-06 |
| 1922462464 | Leia Edenfield | Student in an Organized Health Care Education/Training Program | 105 Balfour Dr, Richmond Hill, GA 31324 | 2016-04-11 |
| 1477931384 | Stephanie Eileen Banasik | Nurse Practitioner | 10200 Ford Ave. Ste. 101, Richmond Hill, GA 31324 | 2015-05-12 |
| 1962800771 | Kendra Seagraves | Nurse Practitioner | 9976 Ford Avenue, Richmond Hill, GA 31324 | 2014-12-10 |
| Find all providers in zip 31324 | ||||
| Taxonomy Code | 163WE0003X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Emergency |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548894264 | Noureen Tharwani Ali | Registered Nurse | 711 Cosmopolitan Dr Ne Unit 302, Atlanta, GA 30324-3621 | 2020-03-03 |
| 1407418098 | Elizabeth Leigh Cooper | Registered Nurse | 3850 Windermere Pkwy Ste 105, Cumming, GA 30041-7033 | 2019-07-03 |
| 1578124483 | Lidiya Maksymyuk | Registered Nurse | 10975 Kimball Crest Dr, Alpharetta, GA 30022-6493 | 2019-06-23 |
| 1326506783 | Brittany Maurelle Smith | Registered Nurse | 3371 Dogwood Dr Unit 140, Atlanta, GA 30354-1488 | 2019-03-05 |
| 1588136881 | Patricia Linette Harth | Registered Nurse | 2389 Sugar Pike Rd, Canton, GA 30115-9416 | 2018-12-26 |
| 1134607286 | Colleen Aletha Montaque | Registered Nurse | 2926 Mill Park Ct, Dacula, GA 30019-3254 | 2018-07-31 |
| 1174018063 | Rebecca Ferguson | Registered Nurse | 725 Rose Creek Cir, Johns Creek, GA 30097-7894 | 2018-06-25 |
| 1487142618 | Sherri Huff | Registered Nurse | 164 Brandon Ridge Cir, Stockbridge, GA 30281-6465 | 2018-04-24 |
| 1871011171 | Melissa Nicole Reeder | Registered Nurse | 2185 Belvedere Ave Sw, Atlanta, GA 30311-3301 | 2017-09-07 |
| 1699291039 | Fauziya Ali | Registered Nurse | 965 Oakland Rd Ste 3b, Lawrenceville, GA 30044-3758 | 2017-08-17 |
| Find all providers with the same taxonomy | ||||
| City | RICHMOND HILL |
| Zip Code | 31324 |
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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.