WILLIAM TILLIS – Pulmonary Disease Physician, NPI 1669468377

WILLIAM TILLIS is a healthcare provider. based in Atlanta, Georgia. specializing in INTERNAL MEDICINE, PULMONARY DISEASE. They hold a License No. 83330 (SC). The NPI Number for WILLIAM TILLIS is 1669468377

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM TILLIS
NPI
1669468377
Phone
(803) 296-7329
Address
PO BOX 743904
Enumeration Date
27 September 2005
Last Update Date
14 September 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
2622450535
Graduation Year
1986 (40 years ago)
PAC ID
5991765075
Group Practice PAC ID
7416860440
Professional Enrollment ID
I20230913001846
Address ID
WI531472655LAN2950RDXX319
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

2,471 INTERNAL MEDICINE in SC

Provider Addresses for WILLIAM TILLIS

  • PO BOX 743904

    ATLANTA, GA 303743904

    Phone: (803) 296-7329

    Fax: (803) 296-7330

    Type: Mailing

  • 1 Richland Medical Park Dr Ste 300

    Columbia, SC 292036831

    Phone: (803) 545-5500

    Fax: (803) 933-3022

    Type: Location

  • N2950 STATE ROAD 67

    LAKE GENEVA, WI 531472655

    Phone: (262) 245-0535

    Fax: (262) 245-2248

    Type: Mailing

  • 1001 Main St

    Suite 200

    Peoria, IL 616061907

    Phone: (309) 672-5682

    Fax: (309) 672-3147

    Type: Location

  • 1000 Mineral Point Ave

    Janesville, WI 535482982

    Phone: (608) 756-6868

    Fax: (608) 756-6289

    Type: Location

  • 903 Mineral Point Ave

    Janesville, WI 535482970

    Phone: (608) 752-6255

    Fax: (608) 752-6253

    Type: Location

  • 1 RICHLAND MEDICAL PARK DR STE 300

    COLUMBIA, SC 292036831

    Phone: (803) 545-5500

    Fax: (803) 933-3022

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2023-09-13

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230913001846IPulmonary DiseaseWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5323$0
94729Test to examine how well the lungs exchange gases2525$0
94060Test to measure expiratory airflow and volume changes before and after medication administration2222$0
94726Test to determine lung volumes using sensors2222$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 30374)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416860440View full group profile

Reviews

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Frequently asked questions

How do payers reference WILLIAM TILLIS?
For WILLIAM TILLIS, use NPI 1669468377 as the unique 10-digit identifier.
Is there an active status for WILLIAM TILLIS?
For scheduling context, WILLIAM TILLIS is shown as active in the registry.
What area of care is associated with WILLIAM TILLIS?
WILLIAM TILLIS's record emphasizes Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Is WILLIAM TILLIS associated with Atlanta?
Public fields place WILLIAM TILLIS around Atlanta, Georgia. Always confirm the exact site before visiting.
What does 8 location(s) imply?
8 practice locations appear in the available data.