Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Kelly Ann Tiller, PA-C

Physician Assistant in Greenville, NC · enumerated 2006.

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

National Provider Identifier

1760557920

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Registry record

Entity type Individual (Type 1)

Name Kelly Ann Tiller

Credential PA-C

Sex Female

Practice address 2100 Stantonsburg Road, 1 South Ent/ Urology Office, Greenville, NC, 27834

Phone (252) 847-2619

Enumeration date Nov 22, 2006

Last updated in NPPES Jun 27, 2019

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 0110006584 (VA) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 100809 (NC) Primary

Other identifiers

Identifier	Type	State	Issuer
1274070001	Other	-	DME MAC JURISDICTION C
P00407688	Other	-	RAILROAD MEDICARE

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 specialty is Kelly Tiller?

Kelly Tiller is registered in NPPES with the primary taxonomy of Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2019-06-27.