Individual provider Active NPI

William H Tillman III, MD

  • Psychiatry Physician
  • Mobile, AL
National Provider Identifier
1609397686
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
39828 Issued in AL
Practice address
2419 Gordon Smith Dr
Mobile, AL 36617-2318
Phone
(251) 434-3475
Fax
(251) 450-4323
NPI assigned
Jun 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychiatry Physician 2084P0800X 39828 AL Primary

Addresses

Primary practice location

2419 Gordon Smith Dr
Mobile, AL 36617-2318

Mailing address

1015 Montlimar Dr Ste A210
Mobile, AL 36609-1743
Phone (251) 461-4243

Other practice location 1

850 5th Ave E
Tuscaloosa, AL 35401-7419
Phone (205) 348-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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

Enrollment IDStateProvider typePAC IDDetails
I20220718001408 AL Practitioner - Psychiatry 4880090125 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Alabama College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Altapointe Health Systems IncGroup PAC ID 1052224052, 97 clinicians

Practice addresses (Care Compare)

5800 Southland Dr
Mobile, AL 36693-3313
Phone (251) 661-0173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39828ALMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altapointe Health Systems, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Altapointe Health Systems, Inc. Current Accepting new patients
Altapointe Health Systems Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

7400 Roper Ln
Daphne, AL 36526
Phone (251) 378-6500

1015 Montlimar Dr
Ste A210
Mobile, AL 36609
Phone (251) 460-7189

5750A Southland Dr
Mobile, AL 36693
Phone (251) 450-5901

2419 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 434-3475

5800 Southland Dr
Mobile, AL 36693
Phone (251) 661-0153

2400 Gordon Smith Dr
Mobile, AL 36617
Phone (251) 305-4660

Interoperability endpoints

  • Direct secure messaging: william.tillman.1@27270.direct.athenahealth.com

Organizations & group practices 3

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": "1498694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1609397686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 MONTLIMAR DR STE A210",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091743",
            "telephone_number": "251-461-4243",
            "fax_number": "251-450-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 GORDON SMITH DR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366172318",
            "telephone_number": "251-434-3475",
            "fax_number": "251-450-4323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "850 5th Ave E",
            "address_purpose": "LOCATION",
            "city": "Tuscaloosa",
            "state": "AL",
            "postal_code": "354017419",
            "country_code": "US",
            "telephone_number": "205-348-1770",
            "fax_number": "205-348-6561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-29",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AL",
            "license": "39828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.