Doctor profile · Federal record

Dr. Mary Kate Tillman, M.D.

Pediatrics Physician · Summerville, SC

  • NPI 1669451092
  • 20 yrs on file
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
202 Bentons Lodge RD
Summerville, SC 294856322
(843) 871-2588
fax (843) 871-1664

Credentials & registration

NPPES · NUCC
NPI registered
January 2006 — 20 yrs on file
Profile last updated
March 27, 2017
Specialty taxonomy
208000000X — NUCC code
State license (1)
South Carolina #16816
Medicaid
SC #168160

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1669451092. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$339
Transactions
14
Manufacturers
7
Payer (manufacturer) Industry Txns Amount
Supernus Pharmaceuticals, Inc. 4 $119.78
Corium, LLC 2 $59.66
GlaxoSmithKline, LLC. 3 $56.54
PFIZER INC. 2 $47.54
NeurAxis, Inc. 1 $28.33
SANOFI PASTEUR INC. 1 $13.54
AstraZeneca Pharmaceuticals LP 1 $13.15

By nature of payment

Food and Beverage
$339

Frequently asked questions

Auto-generated from federal data
What is Dr. Mary Kate Tillman's medical specialty?
Dr. Mary Kate Tillman practices Pediatrics Physician in Summerville, SC.
Where does Dr. Mary Kate Tillman practice?
Dr. Mary Kate Tillman practices at 202 Bentons Lodge RD, Summerville, SC 294856322. Office phone: 8438712588.
What is Dr. Mary Kate Tillman's NPI?
Dr. Mary Kate Tillman's National Provider Identifier (NPI) is 1669451092, issued by NPPES.