NPIMap

Individual provider Active NPI

Edward Allen Tillitz II, D.O.

  • Internal Medicine Physician
  • Columbia, SC
National Provider Identifier
1467693457
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1555 Issued in SC
Practice address
1701 Devonshire Dr Ste 101
Columbia, SC 29204-2446
Phone
(803) 254-2800
NPI assigned
Mar 20, 2009
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1555 SC Primary

Addresses

Primary practice location

1701 Devonshire Dr Ste 101
Columbia, SC 29204-2446

Mailing address

1701 Devonshire Dr Ste 101
Columbia, SC 29204-2446
Phone (803) 254-2800

Other practice location 1

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Other practice location 2

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 792-1414

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.musc.edu Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120918000642 SC Practitioner - HospitalistPractitioner - Internal Medicine 6507027190 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lexington Health IncGroup PAC ID 2567872070, 905 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

1701 Devonshire Dr
Suite 101
Columbia, SC 29204-2446
Phone (803) 254-2800

2720 Sunset Blvd
West Columbia, SC 29169-4810
Phone (803) 791-2350

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1555SCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Palmetto Internal Medicine PA Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Musc Community Physicians CurrentSince Dec 5, 2022 Accepting new patients
RTBT Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients
Lexington Health Inc Current Accepting new patients
Musc Community Physicians Internal Medicine CurrentSince Dec 5, 2022 Accepting new patients
Lexington Health Inc Internal Medicine CurrentSince Feb 1, 2021 Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1701 Devonshire Dr
Ste 101
Columbia, SC 29204
Phone (803) 254-2800

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2720 Sunset Blvd
West Columbia, SC 29169
Phone (803) 791-2480

Interoperability endpoints

  • Direct secure messaging: edward.tillitz.1@29620.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 17

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1467693457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 DEVONSHIRE DR STE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042446",
            "telephone_number": "803-254-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DEVONSHIRE DR STE 101",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042446",
            "telephone_number": "803-254-2800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2720 Sunset Blvd",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "29169",
            "country_code": "US",
            "telephone_number": "803-791-2480",
            "fax_number": "803-936-4102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 Pamplico Hwy",
            "address_purpose": "LOCATION",
            "city": "Florence",
            "state": "SC",
            "postal_code": "295056047",
            "country_code": "US",
            "telephone_number": "843-792-1414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLITZ",
        "first_name": "EDWARD",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.musc.edu",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "805 Pamplico Hwy",
            "city": "Florence",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295056047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.