Individual provider Active NPI

Levonne Powell-Tillman, MD

  • Internal Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1649287863
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200201512 Issued in NC
Practice address
940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone
(919) 942-5123
Fax
(919) 942-5730
NPI assigned
Aug 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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 200201512 NC Primary

Addresses

Primary practice location

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601

Mailing address

2000 Perimeter Park Dr Ste 200
Morrisville, NC 27560-8442

Other identifiers 1

IdentifierTypeStateIssuer
89133K2MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lpowelltillman6682@direct.UNC.nchie.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20050628001210 NC Practitioner - Internal Medicine 8921044165 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

  • Amedisys Home Health of Chapel Hill Home health agency, Chapel Hill, NC, CCN 347030
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200201512NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network, LLC CurrentSince Apr 17, 2011 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Apr 17, 2011 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Chapel Hill Internal Medicine Internal Medicine Past Accepting new patients

Locations

7535 Carpenter Fire Station Rd
Ste 101
Cary, NC 27519
Phone (984) 215-4550

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

208 Village Walk Dr
Holly Springs, NC 27540
Phone (919) 552-8911

1600 Perimeter Park Dr
Ste 225
Morrisville, NC 27560
Phone (919) 804-5064

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

421 N Holly Ave
Siler City, NC 27344
Phone (919) 663-2874

Interoperability endpoints

  • Direct secure messaging: lpowelltillman6682@direct.unc.nchie.net

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1649287863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PERIMETER PARK DR STE 200",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 MARTIN LUTHER KING JR BLVD",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142601",
            "telephone_number": "919-942-5123",
            "fax_number": "919-942-5730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL-TILLMAN",
        "first_name": "LEVONNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200201512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89133K2",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lpowelltillman6682@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "940 Martin Luther King Jr Blvd",
            "city": "Chapel Hill",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275142601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.