NPI age
14 years
Enumerated 2012-02-02
● Active
Type 1 · Individual
MS. Candace Marvenia Tillman, RNC, MS, WHNP-BC
Tillman is 1 of 10 nurse practitioner providers in Conyers and 1 of 806 in Georgia.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-09-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 806 active nurse practitioner providers in Georgia.
NPI age
14 years
↑ 3 yr above median (11 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
1
In the 31% of peers with subspecialties
NPI lifetime · 2012 → 2026
2012-02Enumerated in NPPES
2012
2026
Where they practice
Practice location
3230 Old Church Cv Ne
Conyers, GA 300122647
Mailing address
3230 Old Church Cv Ne
Conyers, GA 300122647
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | RN142932 | STATE OF GEORGIA |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.