Casey Tillery, ANP, GNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

R870048 Issued in MS

Practice address

1600 22ND Ave
Medical Towers III
Meridian, MS 39301-3223

Phone

(601) 483-5322

Fax

(601) 581-2289

NPI assigned

Feb 25, 2013

Last updated

Feb 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in MS

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

Specialty

Nurse Practitioner

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anderson Physician Alliance IncGroup PAC ID 3274727318, 69 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Meridian, MS, CCN 257300
• Accentcare Home Health of Carthage Home health agency, Carthage, MS, CCN 257129
• Anderson Regional Medical Center Hospital, Meridian, MS, CCN 250104

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ctillery@imc.directbygreenway.com
• Direct secure messaging: ctillery623666@direct.bmhcc.org

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.

• Anderson Physician Alliance, Inc.

  dba Baptist Medical Group-Anderson Physician Alliance

  • Multi-Specialty Clinic/Center
  • Meridian, MS
  • NPI 1760798227
  Medicare reassignment Care Compare group NPD
• Joel T Callahan Thomas H Greer Jr & a Gary Boone PTR

  dba Internal Medicine Clinic, PLLC

  • Internal Medicine Physician
  • Meridian, MS
  • NPI 1932248853
  Medicare reassignment NPD
• Urology Clinic of Meridian, P.a.

  • Urology Physician
  • Meridian, MS
  • NPI 1912088295
  NPD

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

• Anderson Regional Medical Center

  dba Baptist Anderson Regional Medical Center

  • General Acute Care Hospital
  • Meridian, MS
  • NPI 1649226952
  Care Compare affiliation
• Centerwell Certified Healthcare Corp.

  dba CenterWell Home Health

  • Home Health Agency
  • Meridian, MS
  • NPI 1952537714
  Care Compare affiliation
• Sta-Home Health Agency of Carthage, Inc

  dba AccentCare Home Health of Carthage

  • Home Health Agency
  • Carthage, MS
  • NPI 1275674533
  Care Compare affiliation

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1710227905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE",
            "address_2": "MEDICAL TOWERS III",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-483-5322",
            "fax_number": "601-581-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 22ND AVE",
            "address_2": "MEDICAL TOWERS III",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393013223",
            "telephone_number": "601-483-5322",
            "fax_number": "601-581-2289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILLERY",
        "first_name": "CASEY",
        "name_prefix": "Mrs.",
        "credential": "ANP, GNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MS",
            "license": "R870048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Andrew Thornhill, PHARMD
• Lee Kinsey Thornton, M.D.
• Peggy J Thornton
• Jamie M Thrash, FNP-C
• William Tidwell, M.D.
• Catrice Tillis, CMHT
• Shirley Tillman
• Alan L Tingle, MS, ATC, LAT
• Troy G. Tolbird, CRNA
• Laveisha Toole

• Adult Health Nurse Practitioner in Meridian, MS
• Providers in Meridian, MS by specialty
• Adult Health Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.