Mr David Roger Tillis, LPC, NCC, MAC - Counselor in Johns Creek, GA

Mr David Roger Tillis, LPC, NCC, MAC is a Counselor - Professional based in Johns Creek, Georgia. Mr David Roger Tillis is licensed to practice in Georgia (license number LPC001626) and his current practice location is 9635 Ventana Way, Suite 101, Johns Creek, Georgia. He can be reached at his office (for appointments etc.) via phone at (770) 495-6339.

NPI number for Mr David Roger Tillis is 1114159696 and his current mailing address is 9635 Ventana Way, Suite 101, Johns Creek, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114159696.

Contact Information

Mr David Roger Tillis, LPC, NCC, MAC
9635 Ventana Way, Suite 101,
Johns Creek, GA 30022-8620
(770) 495-6339
(770) 495-6338

Map and Direction


Healthcare Provider's Profile

Full NameMr David Roger Tillis
GenderMale
SpecialityCounselor - Professional
Location9635 Ventana Way, Johns Creek, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114159696
  • Provider Enumeration Date: 08/17/2009
  • Last Update Date: 08/17/2009

Medical Identifiers

Medical identifiers for Mr David Roger Tillis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114159696NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) MAC030853 (Georgia)Secondary
101YP2500XCounselor - Professional LPC001626 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr David Roger Tillis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr David Roger Tillis, LPC, NCC, MAC
9635 Ventana Way, Suite 101,
Johns Creek, GA 30022-8620

Ph: (770) 495-6339
Mr David Roger Tillis, LPC, NCC, MAC
9635 Ventana Way, Suite 101,
Johns Creek, GA 30022-8620

Ph: (770) 495-6339

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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