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

Tiffany Wilkerson Tullis

Individual provider Speech-Language Pathologist · NPI 1184500779

Tiffany Wilkerson Tullis is a Qualified Speech Language Pathologist in Hawkinsville, Georgia. Qualified in 2025, 1 year ago. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025

Practice location Address checks out

2 Mashburn St
Hawkinsville, GA 31036-4961
Phone: (478) 783-4460
Show map & directions

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

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence PCET004358 (GA)

Record details

NPI number1184500779
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025

Medicare enrollment

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

Medicare specialtyQUALIFIED SPEECH LANGUAGE PATHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated