Individual provider Active NPI

McKenzie Erin Tilton

  • Clinical Social Worker
  • Fayetteville, NC
National Provider Identifier
1194950659
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P015894 Issued in NC
Practice address
711 Executive PL
Fayetteville, NC 28305-5193
Phone
(910) 429-4225
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P015894 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

711 Executive PL
Fayetteville, NC 28305-5193

Mailing address

711 Executive PL
Fayetteville, NC 28305-5193
Phone (910) 429-4225

Other practice location 1

210 Medical Pavilion Dr
Raeford, NC 28376-9111
Phone (910) 615-3333

Other practice location 2

3415A Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3333

Other practice location 3

7 E Duncan St
Lillington, NC 27546-4829
Phone (910) 615-3333

Other practice location 4

3425 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3333

Other practice location 5

3429 Melrose Rd
Fayetteville, NC 28304-1608
Phone (910) 615-3333

Other practice location 6

1638 Owen Dr
Fayetteville, NC 28304-3424
Phone (910) 615-3333

Other practice location 7

300 E McKay St
Elizabethtown, NC 28337-9037
Phone (910) 615-3333

Other practice location 8

7569 N West St
Falcon, NC 28342
Phone (910) 615-3333

Other practice location 9

1262 Oliver St
Fayetteville, NC 28304-4449
Phone (910) 615-3333

Other practice location 10

523 Country Club Dr
Fayetteville, NC 28301-7613
Phone (910) 615-3333

Other practice location 11

2346 Barrington Cir
Fayetteville, NC 28303-4284
Phone (910) 615-3333

Other practice location 12

588 Bailey Rd
Lumberton, NC 28358-2455
Phone (910) 615-3333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220114000085 NC Practitioner - Clinical Social Worker 9830581297 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

300 Medical Pavilion Dr
Suite 150
Raeford, NC 28376-0030
Phone (910) 615-3333

711 Executive PL
FL 4
Fayetteville, NC 28305-5193
Phone (910) 323-2311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jul 9, 2024 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jan 7, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc Clinical CurrentSince Jan 7, 2024 Accepting new patients

Locations

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

1262 Oliver St
Fayetteville, NC 28304
Phone (910) 615-4801

3415A Melrose Rd
Fayetteville, NC 28304
Phone (910) 484-3000

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

3429 Melrose Rd
Fayetteville, NC 28304
Phone (910) 615-3200

2346 Barrington Cir
Fayetteville, NC 28303
Phone (704) 598-5031

3425 Melrose Rd
Fayetteville, NC 28304
Phone (910) 609-3700

300 Medical Pavilion Dr
Ste 150
Raeford, NC 28376
Phone (910) 904-8020

210 Medical Pavilion Dr
Raeford, NC 28376
Phone (910) 904-8000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1194950659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055193",
            "telephone_number": "910-429-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 EXECUTIVE PL",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283055193",
            "telephone_number": "910-429-4225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Medical Pavilion Dr",
            "address_purpose": "LOCATION",
            "city": "Raeford",
            "state": "NC",
            "postal_code": "283769111",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3415A Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 E Duncan St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275464829",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3425 Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3429 Melrose Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283041608",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1638 Owen Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043424",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 E McKay St",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "NC",
            "postal_code": "283379037",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7569 N West St",
            "address_purpose": "LOCATION",
            "city": "Falcon",
            "state": "NC",
            "postal_code": "28342",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1262 Oliver St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044449",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "523 Country Club Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283017613",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2346 Barrington Cir",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283034284",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "588 Bailey Rd",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NC",
            "postal_code": "283582455",
            "country_code": "US",
            "telephone_number": "910-615-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILTON",
        "first_name": "MCKENZIE",
        "middle_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015894",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.