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Dr. Clifford Randolph Tillman

Gastroenterology Physician in Vidalia, LA · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053309732

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Registry record

Entity type Individual (Type 1)
Name Dr. Clifford Randolph Tillman
Sex Male
Practice address 107 Front St, Suite 2126, Vidalia, LA, 71373
Phone (318) 336-2216
Fax (318) 336-6074
Enumeration date Oct 7, 2005
Last updated in NPPES Jul 25, 2008

Taxonomy & licenses

207RG0100X Gastroenterology Physician Allopathic & Osteopathic Physicians · License 06980R (LA) Primary

Other identifiers

Identifier Type State Issuer
0115585 Medicaid MS -
1316521 Medicaid LA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Clifford Tillman?
The National Provider Identifier (NPI) for Clifford Tillman is 1053309732, a Type 1 (individual) record in the CMS NPPES registry.
Where does Clifford Tillman practice?
The practice location on file with NPPES is in Vidalia, LA. Providers can have multiple locations; NPPES lists the primary practice address.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-07-25.