Elizabeth Ellen Tilt, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9500744 Issued in NC

Practice address

511 Lisa Carol Dr
Mooresville, NC 28115-7903

Phone

(704) 651-3907

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Columbus Regional Health Network

  • Hospitalist Physician
  • Whiteville, NC
  • NPI 1508001009

  Single Specialty

  Medicare reassignment NPD
• Center for Pediatrics and Adolescent Medicine, PA

  • Pediatrics Physician
  • Mooresville, NC
  • NPI 1437102381

  Single Specialty

  NPD (past) Authorized official
• Columbus Regional Health Network

  • Orthopaedic Surgery Physician
  • Whiteville, NC
  • NPI 1790224962
  NPD
• Columbus Regional Health Network

  • Pediatrics Physician
  • Whiteville, NC
  • NPI 1851724645
  NPD
• Columbus Regional Health Network

  • Family Medicine Physician
  • Whiteville, NC
  • NPI 1518263268

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1073566014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 LISA CAROL DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281157903",
            "telephone_number": "704-651-3907",
            "fax_number": "704-799-1627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 LISA CAROL DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281157903",
            "telephone_number": "704-651-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILT",
        "first_name": "ELIZABETH",
        "middle_name": "ELLEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "95-00744",
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NC",
            "license": "95-00744",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9500744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8983534",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tynette Marie Thurston
• Tidal Sports Rehab & Recovery LLC
• Angela Mary Tidwell, OT
• Christine Tiede, MSW, LCSW-A
• Anna Tillery, MA, BCBA, LPA
• Heather Tinkham, OTR/L
• Carolann Tokarz, DPT
• Eden Toledano
• Nicole Tomlinson Vanness, LICENSED ATC
• Holly Michelle Tomlinson

• Pediatrics Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.