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

Lisa Ann Tillman, NP-C

Individual provider Nurse Practitioner · NPI 1215615083

Lisa Ann Tillman, NP-C is a Nurse Practitioner in Macon, Georgia. Qualified in 2023, 3 years ago. Practices with The Medical Center of Central Georgia Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
3
Licensed in
GA
In the registry since
2023
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

3400 Riverside Dr
Macon, GA 31210-2513
Phone: (478) 474-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence RN140460 (GA)

Record details

NPI number1215615083
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedJuly 10, 2023
Last updated in NPPESSeptember 26, 2024
Certification dateSeptember 26, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice The Medical Center Of Central Georgia Inc. — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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