Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1083712004 Deactivated / Inactive NPI Male Practitioner

Dr. Edward Lee Tillman , DC

Chiropractor • Mt Pleasant, TX

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Edward Tillman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 21, 2006
NPI Deactivation Date February 14, 2024
Total Practice Duration ~18 Years of Practice (2006 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Edward Tillman, DC was a registered Chiropractor practicing in Mt Pleasant, TX. Throughout an active medical career spanning 18 years, Dr. Tillman provided care at the practice location at 509 W 1ST ST until profile deactivation on 2024-02-14.

Practice Location & Contact Primary Location

Practice Address

509 W 1st St

Mt Pleasant, TX 754554336

Telephone 9035723231
Fax 9035723373

Specialty Benchmarks & Practice Insights

Comparative analytics for Chiropractor in Mt Pleasant, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
3 Specialists

Practicing in Mt Pleasant, TX (7266 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Chiropractor Primary Specialty

NUCC Taxonomy Code: 111N00000X

State License TX 2510

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Tammy Boggs , LPN

Licensed Practical Nurse

NPI 1932709961

Licensed Practical Nurse

John Dixon , RN

Registered Nurse

NPI 1992478911

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
⚠️
NPI Profile Deactivated February 14, 2024

Record deactivated on February 14, 2024

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 509 W 1ST ST, MT PLEASANT, TX 754554336 (Tel: 9035723231)

📍
Updated Business Mailing Address July 08, 2007

Registered at 509 W 1ST ST, MT PLEASANT, TX 754554336 (Tel: 9035723231)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as EDWARD TILLMAN, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Chiropractor (License #2510 in TX)

🟢
Initial NPI Registration & Enumeration September 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Edward Tillman. Be the first to share your experience!

Sign in to leave a review for Dr. Edward Tillman

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1083712004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 21, 2006
Last Update: July 08, 2007
Deactivation Date: February 14, 2024

Mailing Address

509 W 1st St

Mt Pleasant, TX 754554336

Phone: 9035723231

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.