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

Individual provider Physician Assistant · NPI 1679235212

Tilliam Pittman, PA-C is a Physician Assistant in Memphis, Tennessee. Qualified in 2021, 5 years ago. Practices with UT Medical Group Inc, a 95-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
5
Licensed in
TN
In the registry since
2021
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1301 Primacy Pkwy
Memphis, TN 38119-0213
Phone: (901) 866-8630
Fax: (901) 302-2630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 4794 (TN)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1679235212
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 11, 2021
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Ut Medical Group Inc — 95 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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