Nicholas A Tiliakos, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

022340 Issued in GA

Practice address

705 Walther Rd
Lawrenceville, GA 30045-8725

Phone

(770) 963-3801

Fax

(770) 963-3856

NPI assigned

Oct 27, 2005

Last updated

Sep 29, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandra M Tiliakos, MD

  • Rheumatology Physician
  • Lawrenceville, GA
  • NPI 1407064447
  Medicare reassignment

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.

• Nicholas a Tiliakos MD

  • Rheumatology Physician
  • Lawrenceville, GA
  • NPI 1619399664
  Authorized official Same address or phone

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1598755803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490430",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300490008",
            "telephone_number": "678-985-4840",
            "fax_number": "678-985-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WALTHER RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458725",
            "telephone_number": "770-963-3801",
            "fax_number": "770-963-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILIAKOS",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "022340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00326367A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dharani Thurairajah, PAAA
• Varatharajah Thurairajah, MD
• Dayanis N-a Tielve I
• Amish Tilara, M.D.
• Alexandra M Tiliakos, MD
• John Martin Tilley, OTR L
• Patrice Vivien Tillman, RN,MSN
• Michael Walter Tim, M.D.
• Demond Timberlake Jr., NBCHWC
• Callie Timmerman, RBT

• Rheumatology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Rheumatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.