Cheyenne Wilson Tilley, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001013693 Issued in NC

Practice address

723 S Van Buren Rd Ste B
Eden, NC 27288-5418

Phone

(336) 623-5171

NPI assigned

Oct 24, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BHCADA/Endpoint/BHCADA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dayspring Family Medicine

  • Family Medicine Physician
  • Eden, NC
  • NPI 1235131426
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718323200000",
    "number": "1003688979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 S VAN BUREN RD STE B",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885418",
            "telephone_number": "336-613-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 S VAN BUREN RD STE B",
            "city": "EDEN",
            "state": "NC",
            "postal_code": "272885418",
            "telephone_number": "336-623-5171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "CHEYENNE",
        "middle_name": "WILSON",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-24",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001013693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Center for Counseling, P.C.
• The Moses H Cone Memorial Hospital Operating Corporation
• The Sparrow'S Tomorrow Counseling Services, PLLC
• Aaron Bradley Thompson, MD
• Matthew Chase Thompson, D.C.
• Trudy Rodkin Tobias, LCSW
• Total Renal Care of North Carolina LLC
• David B Tucker, DPM
• John David Turner, MD
• William Lee Turner, O.D.

• Physician Assistant in Eden, NC
• Providers in Eden, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.