NPPES file of Aug 9, 2026

Kenosha Latrice Tillman, NURSE PRACTITIONER

Psychiatric/Mental Health Nurse Practitioner · Fairburn, GA

Kenosha Latrice Tillman, NURSE PRACTITIONER is a psychiatric/mental health nurse practitioner with a practice address in Fairburn, Georgia, and NPI 1275886103, issued on Oct 16, 2012. Check the license (Georgia GAA-NP000960, as entered in NPPES) with the Georgia board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1275886103
Name
Kenosha Latrice Tillman
Credential
NURSE PRACTITIONER
Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License number
GAA-NP000960 GA
Self-reported in NPPES; status is on the state search
Practice location
5220 Rosewood PL, Fairburn, GA 30213
Phone
(901) 277-7086
Enumerated
Oct 16, 2012
Record last updated
Nov 7, 2024
Medicare enrollment
Enrolled (PECOS I20230830003310); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest psychiatric/mental health nurse practitioner records → All 1,381 in Georgia → Look up another NPI →

Verify Kenosha Latrice Tillman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Georgia board licenses this profession
    Search for license GAA-NP000960    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Georgia license search

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Bills Medicare through 2 group practices

  1. Columbus Ambulatory Healthcare Services, Inc.Columbus, GA
  2. Piedmont Hospitalist Physicians LLCAtlanta, GA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenosha Latrice Tillman among 1,381 psychiatric/mental health nurse practitioner records in Georgia

Kenosha Latrice Tillman, NURSE PRACTITIONER is one of 1,381 psychiatric/mental health nurse practitioner records with a practice address in Georgia. 61% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 7% of them.

  • NPI issued2012 · 7% of these records are older, 91% newer
  • In a Medicare fileYes · 61% of these records are
  • In the CMS Doctors and Clinicians fileYes · 45% of these records are
  • Graduated2022 · median 2021 among the 616 with a school on file
  • Record last updated2024 · 15% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LP0808X and a Georgia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

7 psychiatric/mental health nurse practitioner records list a practice address in Fairburn

They are 7 of the 252 NPPES records with a practice address in Fairburn, and 1,381 psychiatric/mental health nurse practitioner records in Georgia.

All 1,381 in Georgia → Every provider in Fairburn → Psychiatric/Mental Health Nurse Practitioner nationwide →

The 8 psychiatric/mental health nurse practitioner records with the nearest ZIP codes

  1. Lucia AdebesinFairburn, GA 302131326861030
  2. Michelle Anderson, RNFairburn, GA 302131972742146
  3. Rykeyla Bridges, PMHNP-BCFairburn, GA 302131326602053
  4. Shaquanda Gordon, PMHNP-BCFairburn, GA 302131891475430
  5. Keesha Hamilton-Fowler, NPFairburn, GA 302131962220970
  6. Sandra West, REGISTERED NURSEFairburn, GA 302131366648156
  7. Carla Alexander, PMHNP-BCFayetteville, GA 302141770070120
  8. Anthony Hall, APRNFayetteville, GA 302141558904169

Common questions

What is Kenosha Latrice Tillman, NURSE PRACTITIONER's NPI number?

Kenosha Latrice Tillman, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1275886103, issued on Oct 16, 2012. An NPI identifies a provider in billing; it is not a license.

Where is Kenosha Latrice Tillman, NURSE PRACTITIONER located?

The NPPES record lists a practice address at 5220 Rosewood PL, Fairburn, GA, 30213. Phone: (901) 277-7086. Providers update this record themselves, so call before visiting.

How can I verify Kenosha Latrice Tillman, NURSE PRACTITIONER's license?

NPPES lists Georgia license number GAA-NP000960, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.