HEATHER MICHELLE TILLERY (FNP) – Family Nurse Practitioner, NPI 1043631096
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HEATHER MICHELLE TILLERY (FNP)
PO BOX 742616
ATLANTA, GA 303742616
Phone: (770) 219-8420
Type: Mailing
200 S ENOTA DR NE STE 100
GAINESVILLE, GA 305013466
Phone: (770) 534-2020
Fax: (770) 534-8025
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 75 Open Payments records for all available years, with a total value of $4,921.
Total Amount is formed as General ($4,921) + Research ($0) + Ownership ($0) = $4,921.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: CVRx, Inc. ($1,928).
Total Amount
$4,921
General + Research + Ownership
Payments
75
Total payment records
General Amount
$4,921
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| CVRx, Inc. | $1,928 |
| ABIOMED | $1,352 |
| AstraZeneca Pharmaceuticals LP | $427 |
| Abbott Laboratories | $359 |
| Impulse Dynamics (USA) Inc. | $199 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2014-02-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20140224001975 | I | Nurse Practitioner | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 39 | 36 | $0 |
Insurance plans in this area (ZIP 30374)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| - | GA | |
| - | GA | |
| Cardiovascular Disease (Cardiology), Interventional Cardiology | GA | |
| Cardiac Electrophysiology | GA | |
| Cardiovascular Disease (Cardiology) | GA | |
| Physician Assistant | GA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal Medicine | GA | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology) | GA | |
| Nurse Practitioner | GA |
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