Logan Brooke Tillman, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN-NP298425 Issued in GA

Practice address

105 E Tollison St
Baxley, GA 31513-0149

Phone

(912) 367-0102

Fax

(912) 367-9966

NPI assigned

Nov 3, 2025

Sex

Female

Sole proprietor

No

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.

• The Baxley and Appling County Hospital Authority

  • General Practice Physician
  • Baxley, GA
  • NPI 1518967116

  GA

  Medicare reassignment Care Compare group
• The Baxley & Appling County Hospital Authority

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1255570321
  Care Compare group
• The Baxley and Appling County Hospital Authority

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1073752143
  Care Compare group
• The Baxley and Appling County Hospital Authority

  • Psychiatric Hospital Unit
  • Baxley, GA
  • NPI 1104828623
  Care Compare group
• The Baxley and Appling County Hospital Authority

  • Skilled Nursing Facility
  • Baxley, GA
  • NPI 1316128325
  Care Compare group
• The Baxley and Appling County Hospital Authority

  • Medicare Defined Swing Bed Hospital Unit
  • Baxley, GA
  • NPI 1700888286
  Care Compare group
• The Baxley and Appling County Hospital Authority

  • Rural Health Clinic/Center
  • Baxley, GA
  • NPI 1720227895
  Care Compare group
• The Baxley and Appling County Hospital Authority

  • General Acute Care Hospital
  • Baxley, GA
  • NPI 1861615304
  Care Compare group

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Baxley and Appling County Hospital Authority 5 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in GA

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

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

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 17, 2026.

{
    "created_epoch": "1762128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1023987690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5522 TEN MILE RD",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315136223",
            "telephone_number": "912-367-0102",
            "fax_number": "912-367-9966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E TOLLISON ST",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130149",
            "telephone_number": "912-367-0102",
            "fax_number": "912-367-9966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "LOGAN",
        "middle_name": "BROOKE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-03",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "APRN-NP298425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Baxley and Appling County Hospital Authority
• The Baxley Appling County Hospital Authority
• The Baxley-Appling County Hospital Authority
• Brenda M. Thompson, FNP
• Three Rivers EMS LLC
• Tissue Issue Inc
• Toni Miles Tomberlin
• Vidalia Health Services, LLC
• Vitalocity Urgent Care, LLC
• Wal-Mart Stores East LP

• All providers in Baxley, GA
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.