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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARISSA TILLMAN PA-C
NPI 1265376123
Physician Assistant in Mcdonough, GA

Active since April 20, 2026
156 FOSTER DR STE B, MCDONOUGH, GA 30253(770) 506-4119(770) 506-4145 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Apr 20, 2026 (2 updates tracked since 2026).

About Marissa Tillman Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA TILLMAN PA-C (NPI 1265376123) is an individual physician assistant in Mcdonough, Georgia, licensed in Georgia (14225) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1265376123
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISSA TILLMANCredential: PA-C
Location Address156 FOSTER DR STE BMcdonough, GA 30253-5346
Mailing Address156 Foster Dr Ste BMcdonough, GA 30253-5346 · (770) 506-4119 · Fax (770) 506-4145
Phone(770) 506-4119
Fax(770) 506-4145
Sole ProprietorNo
Enumeration DateApril 20, 2026
Last NPPES UpdateJuly 15, 20262 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1265376123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in GA · 14225
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
156 FOSTER DR STE B, Mcdonough, GA 30253
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESURGENS, LLC
Orthopaedic Surgery
156 FOSTER DR STE B
MCDONOUGH, GA 30253
Henry County (770) 506-4119
ELVIS FRANCOIS M.D.
Orthopaedic Surgery
156 FOSTER DR STE B
MCDONOUGH, GA 30253
Henry County (770) 506-4119
HAYLEE B. POWELL FNP-C
Nurse Practitioner (Family)
156 FOSTER DR STE B
MCDONOUGH, GA 30253
Henry County (770) 506-4119
GABRIELLE N. BLAYLOCK PA-C, ATC
Physician Assistant
156 FOSTER DR STE B
MCDONOUGH, GA 30253
Henry County (770) 506-4119
MR. ANDREW M SCHULTZ FNP-C
Nurse Practitioner
156 FOSTER DR STE B
MCDONOUGH, GA 30253
Henry County (770) 506-4119
JONATHAN DAYNE MULLINAX PA-C
Physician Assistant
156 FOSTER DR STE B
MCDONOUGH, GA 30253
Henry County (770) 506-4119
MORGAN T STOKES PA
Physician Assistant
156 FOSTER DR STE B
MCDONOUGH, GA 30253
Henry County (770) 506-4119
CAMERON ALEXANDER JOHNSON DPT
Physical Therapist
156 FOSTER DR STE B
MCDONOUGH, GA 30253
Henry County (770) 506-4119

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Tillman's NPI number?

The NPI number for Marissa Tillman is 1265376123. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Marissa Tillman located?

Marissa Tillman practices at 156 Foster Dr Ste B, Mcdonough, GA 30253. The listed phone number is (770) 506-4119.

What is Marissa Tillman's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marissa Tillman was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.