DR. CLIFFORD RANDOLPH TILLMAN NPI 1053309732

NPI Information

  • NPI: 1053309732
  • Provider Name: DR. CLIFFORD RANDOLPH TILLMAN
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 107 FRONT ST
    SUITE 2126
    VIDALIA, LA
    ZIP 71373
  • Phone: (318) 336-2216

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NPI Details

DR. Clifford Randolph Tillman is a gastroenterology internal medicine in Vidalia, LA with 50 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Clifford Randolph Tillman NPI is 1053309732. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1976

The provider's business location address is:

107 FRONT ST
SUITE 2126
VIDALIA, LA
ZIP 71373-836
Phone: (318) 336-2216
Fax: (318) 336-6074

The NPI 1053309732 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Test to measure expiratory airflow and volume (HCPCS:94010)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Dilation of esophagus (HCPCS:43450)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
  • Insertion of stomach tube using a flexible endoscope (HCPCS:43246)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Hospital discharge day management, more than 30 minutes (HCPCS:99239)
  • Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Colonoscopy (HCPCS:NAN13)
  • Upper gastrointestinal (GI) endoscopy for acid reflux (HCPCS:NAN12)

The enumeration date for this NPI number is 10/7/2005 and was last updated on 7/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterology06980RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C48308MEDICARE UPINMISSISSIPPI
21316521MEDICAIDLOUISIANA
35U434MEDICARE PINLOUISIANA
4101948747MEDICARE PINMISSISSIPPI
50115585MEDICAIDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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