Tara Leann Tillman, FNP
NPI 1245129030ActiveIndividual· Nurse Practitioner, Family· Lucedale, MS
Nurse Practitioner, Family (FNP) in Lucedale, Mississippi, licensed in MS, with an NPI issued in June 2025. Enrolled in Medicare as practitioner - nurse practitioner. Surgical Specialties Corporation (US), Inc. (DBA Corza Medical) reported $47.11 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1245129030 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP |
| Sole proprietor | No |
| NPI issued | Jun 28, 2025 |
| Last updated in NPPES | Jul 2, 2025 |
| Certified by provider | Jul 2, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 907184 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MS) |
|---|
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Industry payments (Open Payments)
- 2025$47.11 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Surgical Specialties Corporation (US), Inc. (DBA Corza Medical) | $47.11 | 1 |
What the 2025 payments were for
- Food and Beverage$47.11 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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