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

Marissa Tillman, PA-C

Individual provider Physician Assistant · NPI 1265376123

Marissa Tillman, PA-C is a Physician Assistant in McDonough, Georgia. Licensed in Georgia. Registered with an NPI since 2026.

Licensed in
GA
In the registry since
2026
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

156 Foster Dr Ste B
McDonough, GA 30253-5346
Phone: (770) 506-4119
Fax: (770) 506-4145
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14225 (GA)

Record details

NPI number1265376123
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESJuly 15, 2026
Certification dateJuly 15, 2026

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