Andre Dominick Tilton, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD.205203 Issued in LA

Practice address

4101 S Carrollton Ave
New Orleans, LA 70119-6817

Phone

(504) 446-1390

Fax

(877) 473-0040

NPI assigned

May 20, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in LA

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

Specialty

Family Practice

Education

Tulane University School of Medicine, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centerwell Senior Primary Care la PCGroup PAC ID 1951712280, 40 clinicians

Superior Medicine Group LLCGroup PAC ID 6901036243, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: andre.tilton.1@17106.direct.athenahealth.com

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.

• Superior Medicine Group LLC

  • Primary Care Clinic/Center
  • Marrero, LA
  • NPI 1922437441
  Medicare reassignment Care Compare group Authorized official
• Centerwell Senior Primary Care (la) PC

  • Internal Medicine Physician
  • Bossier City, LA
  • NPI 1760005136

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment NPD
• Centerwell Senior Primary Care (la) PC

  • Internal Medicine Physician
  • Hammond, LA
  • NPI 1437723848

  Family Medicine

  NPD
• Centerwell Senior Primary Care (la) PC

  • Internal Medicine Physician
  • Lake Charles, LA
  • NPI 1952036998

  Family Medicine

  NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD
• Common Ground Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Gretna, LA
  • NPI 1790292845
  NPD (past)
• Common Ground Health Clinic

  • Federally Qualified Health Center (FQHC)
  • New Orleans, LA
  • NPI 1801216767
  NPD (past)
• East Jefferson After Hours, LLC

  • Urgent Care Clinic/Center
  • Kenner, LA
  • NPI 1932152626
  NPD (past)
• East Jefferson After Hours, Metairie, LLC

  • Urgent Care Clinic/Center
  • Metairie, LA
  • NPI 1538112248
  NPD (past)
• Lakeview Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Metairie, LA
  • NPI 1497027908
  NPD (past)
• Luling Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Metairie, LA
  • NPI 1326319666
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1306165097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 WESTBANK EXPY",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722669",
            "telephone_number": "504-309-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 S CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701196817",
            "telephone_number": "504-446-1390",
            "fax_number": "877-473-0040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Montano Rd NW",
            "address_purpose": "LOCATION",
            "city": "Albuquerque",
            "state": "NM",
            "postal_code": "871205743",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "fax_number": "401-652-9093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6621 Westbank Expy",
            "address_purpose": "LOCATION",
            "city": "Marrero",
            "state": "LA",
            "postal_code": "700722669",
            "country_code": "US",
            "telephone_number": "504-309-7030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILTON",
        "first_name": "ANDRE",
        "middle_name": "DOMINICK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "28991",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NM",
            "license": "MD2019-0172",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036139441",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.205203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01105572",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2111906",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andre.tilton.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4101 S Carrollton Ave",
            "city": "New Orleans",
            "state": "LA",
            "country_code": "US",
            "postal_code": "701196817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Christine Tilley, M.S. ED
• Kalyssa Jayde Tilley
• Lisa Tillman Edison
• Lacie Tillman, PHD
• Nigel Tillman
• Carolyn Tilton
• Yolande Marie Tilton, LMSW
• Hallie Timm, MSW, BCBA
• Nancy Bissinger Timm, LCSW
• Alan E Timmcke, MD

• Family Medicine Physician in New Orleans, LA
• Providers in New Orleans, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.