Sharesa L Tillman

Primary specialty

HomemakerTaxonomy code 376J00000X

License

92-1990976 Issued in GA

Practice address

PO Box 211
Hoschton, GA 30548-0211

Phone

(762) 445-4925

NPI assigned

Aug 30, 2024

Last updated

Aug 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Tillman Academy

  • School Counselor
  • Jefferson, GA
  • NPI 1518895523
  NPD Authorized official
• Tillman Private Home Care LLC

  • Home Health Registered Nurse
  • Jefferson, GA
  • NPI 1942138953
  NPD Authorized official

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

{
    "created_epoch": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1700610722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305480211",
            "telephone_number": "762-445-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 211",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305480211",
            "telephone_number": "762-445-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLMAN",
        "first_name": "SHARESA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "GA",
            "license": "92-1990976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Kroger Co (Kroger Pharmacy #686)
• Monika E Thelen, DPT
• Thomas William Crumbley (Hoschton Chiropractic Center)
• Elise Embrick Thrift, LPC
• Thrive Gear LLC
• TMP Home Care Services, Inc (Visiting Angels)
• Todd Family Dentistry
• Lan Thao Tran, PHARMACIST
• Trinity Dental, LLC
• Natalie Tripplet

• Homemaker in Hoschton, GA
• Providers in Hoschton, GA by specialty
• Homemaker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.