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

Tara M Tilton I, PA-C

Individual provider Physician Assistant · NPI 1841437761

Tara M Tilton I, PA-C is a Physician Assistant in Kingsport, Tennessee. Licensed in Tennessee. Registered with an NPI since 2009.

Licensed in
TN
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

999 Executive Park Blvd Ste 102
Kingsport, TN 37660-4632
Phone: (423) 578-1518
Fax: (423) 230-6349
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 1691 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 1691 (TN)

Record details

NPI number1841437761
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 14, 2009
Last updated in NPPESMarch 5, 2010

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