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

Eric Wade Tillotson

Individual provider Family Medicine Physician · NPI 1316300080

Eric Wade Tillotson is a Family Practice in Tupelo, Mississippi. Graduated from University of Mississippi School of Medicine in 2016, 10 years ago. Practices with Desoto Family Medical Center, a 6-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
10
Trained at
University of Mississippi School of Medicine
Licensed in
MS
In the registry since
2016

Practice location Address checks out

1665 S Green St
Tupelo, MS 38804
Phone: (662) 377-2189
Fax: (662) 377-2263
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 26941 (MS)

Record details

NPI number1316300080
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 31, 2016
Last updated in NPPESJuly 14, 2020
Certification dateJuly 14, 2020
Mailing address1665 South Green Street, Tupelo, MS 38804

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Desoto Family Medical Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tupelo