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IndividualActiveMedicare EnrolledPrescriberCan Order/Refer

Logan Brooke Tillman

FNP

Nurse Practitioner - Family

NPI: 1023987690Baxley, Georgia, 31513(912) 705-9680Female

About Logan Brooke Tillman

Logan Brooke Tillman, FNP, is a female healthcare professional specializing in Nurse Practitioner - Family with a focus on Family, registered under National Provider Identifier (NPI) number 1023987690.

Logan Brooke Tillman received her medical education at OTHER, graduating in 2025. Their primary practice is located at 388 S MAIN ST, Baxley, Georgia 31513. Patients can reach the office at (912) 705-9680.

In addition to the primary location, Logan Brooke Tillman maintains 1 additional practice location. Logan Brooke Tillman is enrolled in Medicare and accepts Medicare patients, is authorized to order and refer Medicare services, is authorized to prescribe medications.

Logan Brooke Tillman has been NPI-registered since 2025.

Key Metrics

Practice Locations

2

Doctor Details

Identity & Credentials

NPI Number
1023987690
Entity Type
Individual
First Name
Logan
Last Name
Tillman
Credential
FNP
Gender
Female
Medical School
OTHER
Graduation Year
2025
Sole Proprietor
No
Status
active

Primary Practice Location

Address
388 S MAIN ST
City
Baxley
State
Georgia
ZIP
31513-0104
Country
United States
Phone
(912) 705-9680
Fax
(912) 705-0531

Specialty & Taxonomy

Primary Specialty
Nurse Practitioner - Family
Classification
Nurse Practitioner
Specialization
Family
Taxonomy Code
363LF0000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
5522 TEN MILE RD
City
BAXLEY
State
GA
ZIP
315136223

Medicare Enrollment

Medicare Enrolled
Yes
Can Order/Refer
Yes
Telehealth
No
Excluded
No

Prescriber Information

Authorized Prescriber
Yes

Frequently Asked Questions

What is Logan Brooke Tillman's NPI number?
Logan Brooke Tillman's National Provider Identifier (NPI) is 1023987690. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Logan Brooke Tillman specialize in?
Logan Brooke Tillman specializes in Nurse Practitioner - Family. They received their medical education at OTHER (class of 2025).
Where is Logan Brooke Tillman located?
Logan Brooke Tillman practices at 388 S MAIN ST, Baxley, Georgia 31513. You can reach them by phone at (912) 705-9680. They also have 1 additional practice location.
Does Logan Brooke Tillman accept Medicare?
Yes, Logan Brooke Tillman is enrolled in the Medicare program and accepts Medicare patients. They are also authorized to order and refer services under Medicare.
Does Logan Brooke Tillman offer telehealth or virtual visits?
Logan Brooke Tillman does not currently offer telehealth services. In-person visits are required at their practice location.
Can Logan Brooke Tillman prescribe medications?
Yes, Logan Brooke Tillman is an authorized prescriber.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Logan Brooke Tillman is 1023987690.