Individual provider Active NPI

Gina Zareena Khan Tilley, MD

  • Family Medicine Physician
  • Little Rock, AR
National Provider Identifier
1922230614
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-5303 Issued in AR
Practice address
1100 N University Ave Ste 200
Little Rock, AR 72207-6360
Phone
(888) 710-8220
Fax
(866) 573-0761
NPI assigned
Aug 14, 2009
Last updated
Feb 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036.153880 IL
Family Medicine Physician 207Q00000X MD23125 ME
Family Medicine Physician 207Q00000X 300283 NY
Family Medicine Physician 207Q00000X 25MA10731900 NJ
Family Medicine Physician 207Q00000X 61889 TN
Family Medicine Physician 207Q00000X E-5303 AR Primary
Family Medicine Physician 207Q00000X 34139 OK

Addresses

Primary practice location

1100 N University Ave Ste 200
Little Rock, AR 72207-6360

Mailing address

PO Box 1848
Mena, AR 71953-1841
Phone (888) 710-8220

Other practice location 1

5500 W 12th St
Little Rock, AR 72204-1716
Phone (501) 435-1402

Other identifiers 1

IdentifierTypeStateIssuer
179446001MedicaidAR

Other names 1

  • Zareena K Bozeman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, OK, NY, TN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20090928000086 AR Practitioner - Family Practice 2961558341 Reassigns benefits to 1 organization
I20201216002565 OK Practitioner - Family Practice 2961558341
I20201219000150 NY Practitioner - Family Practice 2961558341
I20201221000520 TN Practitioner - Family Practice 2961558341 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Louisiana State University School of Medicine in Shreveport, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthy Connections IncorporatedGroup PAC ID 9931018421, shared by 19 NPIs, 23 clinicians

Practice addresses (Care Compare)

1100 N University Ave
Little Rock, AR 72207-6360
Phone 8887108220166

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-5303ARMDFamily Medicine Physician
036.153880ILMDFamily Medicine Physician
25MA10731900NJMDFamily Medicine Physician
300283NYMDFamily Medicine Physician
61889TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Connections Incorporated CurrentSince Dec 1, 2023 Accepting new patients
Healthy Connections Incorporated CurrentSince Dec 1, 2023 Accepting new patients
Healthy Connections Incorporated Current Accepting new patients
Oak Street Health Physicians Group of Arkansas PLLC Family Medicine PastSince Apr 30, 2023 Accepting new patients

Locations

1100 N University Ave
Ste 200
Little Rock, AR 72207
Phone (501) 209-4040

1003 Schneider Dr
Malvern, AR 72104
Phone (501) 337-5678

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1922230614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1848",
            "city": "MENA",
            "state": "AR",
            "postal_code": "719531841",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N UNIVERSITY AVE STE 200",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076360",
            "telephone_number": "888-710-8220",
            "fax_number": "866-573-0761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5500 W 12th St",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722041716",
            "country_code": "US",
            "telephone_number": "501-435-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLEY",
        "first_name": "GINA",
        "middle_name": "ZAREENA KHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036.153880",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "MD23125",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "300283",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10731900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "61889",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-5303",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "34139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179446001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZAREENA",
            "last_name": "BOZEMAN",
            "middle_name": "K",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.