Carla R Tillery (NPI# 1770501280, PAC ID# 7214020148) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1770501280 |
| PAC ID by PECOS | 7214020148 |
| Professional Enrollment ID | I20070907000496 |
| Full Name | Carla R Tillery |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Address |
1190 E Nine Mile Rd Pensacola FL 32514-1651 |
| Phone Number | 8508574040 |
| Gender | F |
| Medical School | UNIVERSITY OF ALABAMA SCHOOL OF MEDICINE |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6002718343 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100231 | WEST FLORIDA HOSPITAL |
| 100093 | BAPTIST HOSPITAL |
| 100025 | SACRED HEART HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 | 8508574040 | PENSACOLA PRIMARY CARE INC |
| Organization Legal Name | PENSACOLA PRIMARY CARE INC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean Ashley Tolbert | Nurse Practitioner | Pensacola Primary Care Inc | 2360 Us Hwy 29 S, Cantonment, FL 32533 |
| Tavaris R Brooks Sr. | Nurse Practitioner | Pensacola Primary Care Inc | 7458 Pine Forest Rd, Pensacola, FL 32526-8818 |
| Vicki L Hankins | Nurse Practitioner | Pensacola Primary Care Inc | 4262 Woodbine Rd, Pace, FL 32571-8703 |
| Bill T Bautsch Jr. | Internal Medicine | Pensacola Primary Care Inc | 4244 Avalon Blvd, Milton, FL 32583-2808 |
| Joe A Dunn Jr. | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| William S Willis | Family Medicine | Pensacola Primary Care Inc | 4601 Spanish Trl, Pensacola, FL 32504-5039 |
| Christopher H Rush | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Benjamin L Konell | Family Medicine | Pensacola Primary Care Inc | 321 E Fairfield Dr, Pensacola, FL 32506-4990 |
| Rex D Delaune | Family Medicine | Pensacola Primary Care Inc | 6431 N W St, Pensacola, FL 32505-1719 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Street Address |
1190 E NINE MILE RD |
| City | PENSACOLA |
| State | FL |
| Zip | 32514-1651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vicki P Merold | Nurse Practitioner | West Florida Cardiology Physicians LLC | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Jose Antonio Guitian | Cardiovascular Disease (cardiology) | West Florida Cardiology Physicians LLC | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Edward Anthony Schuka | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Serda C Hawthorne | Family Medicine | Pensacola Primary Care Inc | 1190 E Nine Mile Rd, Pensacola, FL 32514-1651 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Brian Comitalo | General Surgery | West Florida Specialty Physicians LLC | 8333 N Davis Hwy, 5th Floor, Pensacola, FL 32514 |
| Suzanne Marie Day | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Susan J Summerton | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Brandi C Slapkunas | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Clyde D Reynolds | Optometry | Douglas Reynolds Od Pa | 460 E 9 Mile Rd, Pensacola, FL 32514-1441 |
| Rodney W Schulze | Chiropractic | 965 E Nine Mile Rd, Pensacola, FL 32514-1648 | |
| Frankie J Sanchez | Clinical Social Worker | 9160 Roe St, Suite 5, Pensacola, FL 32514-3507 | |
| Melisa G Clements | Nurse Practitioner | Acts Signature Community Services Inc | 10100 Hillview Dr, Pensacola, FL 32514-5436 |
| Tamberlynn W Baker | Nurse Practitioner | Baptist Urgent Care, LLC | 9400 University Pkwy, 101b, Pensacola, FL 32514-5485 |
| Jennifer J. Lynch Riggs | Physician Assistant | Baptist Urgent Care, LLC | 9400 University Pkwy, 101b, Pensacola, FL 32514-5485 |
| Find all physicians in zip 32514 | |||
| City | PENSACOLA |
| Zip Code | 32514 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | PENSACOLA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Carla R Tillery.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.