Samuel Grey Tilden, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

164560 Issued in NC

Practice address

1824 Pisgah Dr
Hendersonville, NC 28791

Phone

(828) 694-8427

NPI assigned

Jun 21, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC, AL2 enrollments

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 2

Specialty

Family Practice

Education

University of Alabama School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stilden148129@direct.unc.nchie.net

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.

• Blue Ridge Community Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1437593787

  Family Medicine

  Medicare reassignment NPD
• Henderson County Hospital Corporation

  • Multi-Specialty Clinic/Center
  • Hendersonville, NC
  • NPI 1447444559

  Family Medicine

  Medicare reassignment NPD
• Henderson County Hospital Corporation

  • Federally Qualified Health Center (FQHC)
  • Hendersonville, NC
  • NPI 1528707130
  Medicare reassignment NPD
• Blue Ridge Community Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Brevard, NC
  • NPI 1750144119

  Family Medicine

  NPD
• Henderson County Hospital Corporation

  • Community/Retail Pharmacy
  • Hendersonville, NC
  • NPI 1013694165
  NPD
• Pardee Neurology Associates

  • Neurology Physician
  • Hendersonville, NC
  • NPI 1447540323
  NPD

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1083935357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N JUSTICE",
            "address_2": "BOX 16",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287913410",
            "telephone_number": "828-684-8385",
            "fax_number": "828-684-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 PISGAH DR",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "28791",
            "telephone_number": "828-694-8427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILDEN",
        "first_name": "SAMUEL",
        "middle_name": "GREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "164560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stilden148129@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1824 Pisgah Dr",
            "city": "Hendersonville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer D Thompson, OTA
• Kelly Thompson, CNM FNP
• Martha E Thompson, LCSW
• Sharon Johns Thurlby, RD, LDN
• Megan Tiboni, PT, DPT, NCS, C/NDT
• Aimee Nicole Tillman, PT
• Aaron Michael Timins, D.O
• Timothy P. Anderson, O.D., P.a.
• Joel Steven Tipton, CEP
• TL Bearwallow LLC

• Family Medicine Physician in Hendersonville, NC
• Providers in Hendersonville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.