Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Tillman Medical Group PA

Organization Specialist · NPI 1922124312

Tillman Medical Group PA provides Specialist services in Jonesville, Louisiana. Licensed in Louisiana. Registered with an NPI since 2007.

Licensed in
LA
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 Audubon Dr
Jonesville, LA 71343 Not confirmed with CMS for 18 years — call before visiting
Phone: (318) 339-4112
Fax: (318) 339-6388
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 07480R (LA)

Record details

NPI number1922124312
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Davis — Administrator · (318) 339-4112
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 8, 2008
Mailing address800 Audubon Dr, Jonesville, LA 71343