| Dr Deryus Tillman, DNP, NP-C | |
|
2564 Enterprise Dr, Opelika, AL 36801-6860 | |
| (205) 848-2273 | |
| Not Available |
| Full Name | Dr Deryus Tillman |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 4 Years |
| Location | 2564 Enterprise Dr, Opelika, Alabama |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821742594 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | GAA-NP003150 (Georgia) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 1-197726 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stopwatch Urgent Care Centers Llc | 7719166230 | 32 |
| American Family Care, Llc | 9739087818 | 168 |
| Peachtree Immediate Care Fp, Llc | 3274559323 | 273 |
| Entity Name | American Family Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669429080 PECOS PAC ID: 9739087818 Enrollment ID: O20031229000157 |
| Entity Name | Stopwatch Urgent Care Centers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841506458 PECOS PAC ID: 7719166230 Enrollment ID: O20110128000664 |
| Entity Name | Rural Urgent Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932586476 PECOS PAC ID: 8820305600 Enrollment ID: O20150910001722 |
| Entity Name | Childrens Urgent Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124541438 PECOS PAC ID: 9234405408 Enrollment ID: O20171017000804 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Deryus Tillman, DNP, NP-C 48 Willow Trace Dr, Phenix City, AL 36869-7105 Ph: (706) 799-3906 | Dr Deryus Tillman, DNP, NP-C 2564 Enterprise Dr, Opelika, AL 36801-6860 Ph: (205) 848-2273 |
Brian Clay Young, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 638 Lee Road 483, Opelika, AL 36804 Phone: 770-547-3632 | |
Mrs. Brandy D Mcculloch, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801 Phone: 334-528-1112 Fax: 334-528-1547 | |
Ms. Karen Ann Land, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 Village Professional Pkwy, Opelika, AL 36801 Phone: 334-749-8121 Fax: 334-749-6166 | |
Sandy Whitaker, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3320 Skyway Dr, Suite 801, Opelika, AL 36801 Phone: 334-821-0238 Fax: 334-821-6685 | |
Mrs. Nancy Mcdonald, CRNP, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2000 Pepperell Pkwy, Opelika, AL 36801 Phone: 334-528-7200 Fax: 334-528-3470 | |
Mrs. Sylvia Anderson, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 121 N 20th St, #6, Opelika, AL 36801 Phone: 334-749-3385 Fax: 334-745-7672 | |
Kristin Ann Mealer, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 300 Lee Road 29, Opelika, AL 36804 Phone: 334-733-0336 |