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

Dr. Johnie Stuart Tillman, MD

Individual provider Family Medicine Physician · NPI 1124282090

Dr. Johnie Stuart Tillman, MD is a Family Medicine Physician in Fort Gordon, Georgia. Licensed in Georgia. Registered with an NPI since 2008.

Licensed in
GA
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

300 W Hospital Rd Attn: Credentials
Fort Gordon, GA 30905-5741
Phone: (706) 592-6722
Fax: (706) 787-8176
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 029995 (GA)

Record details

NPI number1124282090
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 10, 2008
Last updated in NPPESJuly 10, 2008
Mailing address300 W Hospital Rd, Attn: Credentials, Fort Gordon, GA 30905-5741

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