Individual provider Active NPI

John Banks Tilmon, PA-C

  • Physician Assistant
  • Sterlington, LA
National Provider Identifier
1619903721
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
A10255RX Issued in LA
Practice address
10374 Highway 165 N Ste B
Sterlington, LA 71280-3320
Phone
(318) 665-4543
NPI assigned
Jun 23, 2006
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X A10255RX LA Primary

Addresses

Primary practice location

10374 Highway 165 N Ste B
Sterlington, LA 71280-3320

Mailing address

1315 Stubbs Vinson Rd
Monroe, LA 71203-8553
Phone (318) 343-2483

Other identifiers 1

IdentifierTypeStateIssuer
1625094MedicaidLA

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000640 LA Practitioner - Physician Assistant 4880842624 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Francis Urgent Care LLCGroup PAC ID 6608181516, 11 clinicians

Practice addresses (Care Compare)

2020 Tower Dr
Suite 100
Monroe, LA 71201-5036
Phone (318) 966-6220

3424 Cypress St
West Monroe, LA 71291-7310
Phone (318) 450-4626

PO Box
Suite 627
Sterlington, LA 71280

PO Box
Suite 627
Sterlington, LA 71280-0627

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.47 of 100Reported as group
Improvement activities
40
Cost
73.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
A10255RXLAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sterlington Critical Access Hospital L.L.C Medical CurrentSince Mar 30, 2013 Accepting new patients
Sterlington Critical Access Hospital, L.L.C. CurrentSince Mar 30, 2013 Accepting new patients
Sterlington Critical Access Hospital, LLC Past Accepting new patients
St Francis Medical Group LLC Past Accepting new patients

Locations

355 W Hickory Ave
Bastrop, LA 71220
Phone (318) 281-4450

370 W Hickory Ave
Bastrop, LA 71220
Phone (318) 281-4531

370 W Hickory Ave
#B
Bastrop, LA 71220
Phone (318) 614-0592

220 Davenport Ave
Mer Rouge, LA 71261
Phone (318) 647-3420

10374 Highway 165 N
Sterlington, LA 71280

10374 Highway 165 N
Ste B
Sterlington, LA 71280
Phone (318) 665-4543

10374 Highway 165 N
Ste D
Sterlington, LA 71280
Phone (318) 665-4543

Organizations & group practices 6

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 4

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

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1619903721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 STUBBS VINSON RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038553",
            "telephone_number": "318-343-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10374 HIGHWAY 165 N STE B",
            "city": "STERLINGTON",
            "state": "LA",
            "postal_code": "712803320",
            "telephone_number": "318-665-4543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILMON",
        "first_name": "JOHN",
        "middle_name": "BANKS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "A10255RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1625094",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterlington, LA

Sources for this page

Verify at the official NPI Registry.