Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MS. MARY CHRISTINA TILLMAN PA-C
NPI 1609783059
Physician Assistant in Augusta, GA

Active since August 24, 2026
3650 J DEWEY GRAY CIR, AUGUSTA, GA 30909(706) 863-9797(706) 863-9410 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Ms. Mary Christina Tillman Pa-c NPPES

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

MS. MARY CHRISTINA TILLMAN PA-C (NPI 1609783059) is an individual physician assistant in Augusta, Georgia and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1609783059
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MARY CHRISTINA TILLMANCredential: PA-C
Location Address3650 J DEWEY GRAY CIRAugusta, GA 30909-1867
Mailing Address215 Austin AveJesup, GA 31546-3651 · (912) 415-1538
Fax(706) 863-9410
Sole ProprietorNo
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 24, 2026
NPI 1609783059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
3650 J DEWEY GRAY CIR, Augusta, GA 30909

Other Providers at the Same Location NPPES 20

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

Physical Therapist
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Orthopaedic Surgery
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Orthopaedic Surgery
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Physician Assistant
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Physician Assistant (Surgical)
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Physical Therapist
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Physician Assistant
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909
Orthopaedic Surgery
3650 J DEWEY GRAY CIR
AUGUSTA, GA 30909

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 Mary Tillman's NPI number?

The NPI number for Mary Tillman is 1609783059. It was assigned to this individual provider in the NPPES registry on August 24, 2026.

Where is Mary Tillman located?

Mary Tillman practices at 3650 J Dewey Gray Cir, Augusta, GA 30909. The listed phone number is (706) 863-9797.

What is Mary 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 Mary Tillman was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.