NATHAN TILLOTSON – Obstetrics Physician, NPI 1770670473
Obstetrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NATHAN TILLOTSON
315 E ELM ST STE 310
CALDWELL, ID 836054881
Phone: (208) 454-2035
Fax: (208) 454-1065
Type: Location
Rice Box, Atlanta BeltLine Eastside Trail, Atlanta, Georgia, 30308, United States
ATLANTA, GA 303742941
Phone:
Type: Mailing
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.
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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: 2022-11-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20050324000552 | I | Obstetrics/Gynecology | TX | TBD |
| I20181220002997 | I | Obstetrics/Gynecology | WA | TBD |
| I20210524001853 | I | Obstetrics/Gynecology | KY | TBD |
| I20221108001666 | I | Obstetrics/Gynecology | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83605)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiac Electrophysiology, Cardiovascular Disease (Cardiology) | ID | |
| Interventional Cardiology | GA | |
| Physician Assistant | GA | |
| General Surgery | GA | |
| - | ID | |
| General Surgery | ID | |
| - | GA | |
| - | GA | |
| General Surgery | ID | |
| General Surgery | ID |
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