DR. OTIS EDWARD TILLMAN M.D. NPI 1962597385

NPI Information

  • NPI: 1962597385
  • Provider Name: DR. OTIS EDWARD TILLMAN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1942 NORTH AVENUE
    COLUMBUS, GA
    ZIP 31901
  • Phone: (706) 596-1245

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NPI Details

DR. Otis Edward Tillman, M.D. is a specialist in Columbus, GA with 36 years of experience. The provider is 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. DR. Otis Edward Tillman, M.D. NPI is 1962597385. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1990

The provider's business location address is:

1942 NORTH AVENUE
COLUMBUS, GA
ZIP 31901
Phone: (706) 596-1245
Fax: (706) 576-4245

The NPI 1962597385 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 25 minutes (HCPCS:99232)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)

The enumeration date for this NPI number is 10/3/2006 and was last updated on 7/8/2007.

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
1174400000XSpecialist040576GEORGIAYes

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
160027547OTHERALABAMABCBS OF ALABAMA
2224251OTHERGEORGIABCBS OF GEORGIA
311BDWKPMEDICARE ID-TYPE UNSPECIFIEDGEORGIA
400669127CMEDICAIDGEORGIA
5G12718MEDICARE UPIN

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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