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

Moniqua Shantal Tillman, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1568925816

Moniqua Shantal Tillman, MD is a Psychiatry in Gulfport, Mississippi. Graduated from University of Mississippi School of Medicine in 2019, 7 years ago. Practices with Integrated Behavioral Health Inc, a 107-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Alabama and Mississippi.

Years since qualifying
7
Trained at
University of Mississippi School of Medicine
Licensed in
AL, MS
In the registry since
2019
Specialties on file
2
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

11150 US 49
Gulfport, MS 39503
Phone: (228) 831-1700
Show map & directions

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

Additional practice locations (1)

  • 2740 Pass Rd, Biloxi, MS 39531-2626 — (228) 276-1860

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 33202 (MS)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence MD.42141 (AL)

Record details

NPI number1568925816
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 12, 2019
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Integrated Behavioral Health Inc — 107 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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