CORAH L TILLERSON PA
NPI 1508551458
Physician Assistant - Medical in Fishersville, VA

Q: What is Corah Tillerson's NPI number?

The NPI number for Corah Tillerson is 1508551458. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Q: What is Corah Tillerson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Corah Tillerson was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.

Active since April 06, 2023PECOS EnrolledAccepts Medicare Assignment

57 BEAM LN STE 300, FISHERSVILLE, VA 22939(434) 297-9999(434) 297-9898 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 3, 2025, Jan 2, 2025, Apr 6, 2023 (3 updates tracked since 2023).

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About Corah L Tillerson Pa NPPES

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

CORAH L TILLERSON PA (NPI 1508551458) is an individual medical provider in Fishersville, Virginia, licensed in Virginia (0110009563) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1508551458

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameCORAH L TILLERSONCredential: PA

Location Address57 BEAM LN STE 300Fishersville, VA 22939-2350

Mailing AddressPo Box 749112Atlanta, GA 30374-9112

Phone(434) 297-9999

Fax(434) 297-9898

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateApril 6, 2023

Last NPPES UpdateFebruary 3, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 3, 2025

✔ NPI 1508551458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in VA · 0110009563

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 0110009563 (VA)

57 BEAM LN STE 300, Fishersville, VA 22939

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Corah L Tillerson Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971947136

PECOS Enrollment IDI20240215004236

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services49 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

34 services31 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490004

Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County

Emergency services Birthing friendly

University Of Virginia Medical Center

Acute Care Hospitals · Charlottesville, VA

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number490009

Location1215 Lee StreetCharlottesville, VA 22908 · Charlottesville City County

Emergency services Birthing friendly

Augusta Health

Acute Care Hospitals · Fishersville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490018

Location78 Medical Center DriveFishersville, VA 22939 · Augusta County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 3

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

DR. EMANUEL CIRENZA MD

Internal Medicine (Medical Oncology)

57 BEAM LN STE 300
FISHERSVILLE, VA 22939

Augusta County (434) 297-9999

MEERA S KUMAR PA

Nurse Practitioner (Family)

57 BEAM LN STE 300
FISHERSVILLE, VA 22939

Augusta County (540) 213-2220

DR. GWENALYN G. C. GARCIA MD

Internal Medicine (Medical Oncology)

57 BEAM LN STE 300
FISHERSVILLE, VA 22939

Augusta County (540) 213-2220

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 Corah Tillerson's NPI number?

The NPI number for Corah Tillerson is 1508551458. It was assigned to this individual provider in the NPPES registry on April 6, 2023.

Where is Corah Tillerson located?

Corah Tillerson practices at 57 Beam Ln Ste 300, Fishersville, VA 22939. The listed phone number is (434) 297-9999.

What is Corah Tillerson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Corah Tillerson enrolled in Medicare?

Yes. Corah Tillerson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Corah Tillerson affiliated with any hospitals?

According to CMS data, Corah Tillerson is affiliated with Sentara Rmh Medical Center, University Of Virginia Medical Center and Augusta Health.

When was this NPI record last updated?

The NPPES record for Corah Tillerson was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.