Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Chad Ethan Tiller, PA-C

Individual provider Physician Assistant · NPI 1033441480

Chad Ethan Tiller, PA-C is a Physician Assistant in Raleigh, North Carolina. Graduated from University of Washington School of Medicine in 2009, 17 years ago. Practices with Duke University Affiliated Physicians, Inc, a 449-clinician group and accepts Medicare assignment. Licensed in North Carolina and Nevada.

Years since qualifying
17
Trained at
University of Washington School of Medicine
Licensed in
NC, NV
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10211 Alm St Ste 1200
Raleigh, NC 27617-8221
Phone: (919) 206-4889
Fax: (919) 206-4875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-04010 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA1197 (NV)

Record details

NPI number1033441480
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 10, 2010
Last updated in NPPESMarch 6, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Duke University Affiliated Physicians, Inc. — 449 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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