Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Patrick Tillman, PA-C

Individual provider Physician Assistant · NPI 1528616257

Jonathan Patrick Tillman, PA-C is a Physician Assistant in Spartanburg, South Carolina. Graduated from Medical University of South Carolina College of Medicine in 2019, 7 years ago. Practices with Spartanburg Medical Center, a 1,067-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in South Carolina.

Years since qualifying
7
Trained at
Medical University of South Carolina College of Medicine
Licensed in
SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

101 E Wood St
Spartanburg, SC 29303-3040
Phone: (864) 560-6617
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 43 New Scotland Ave, Albany, NY 12208-3412 — (518) 262-3125

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3691 (SC)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1528616257
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 27, 2019
Last updated in NPPESFebruary 22, 2021
Certification dateFebruary 22, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2019 (7 years in practice)
Group practice Spartanburg Medical Center — 1067 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Spartanburg