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TIDE AND BRANCH PSYCHIATRY LLC
NPI 1679458566
Clinic/Center - Adult Mental Health in Savannah, GA

Active since August 08, 2025CLIA 11D2335677 · Waiver
37 W FAIRMONT AVE STE 317, SAVANNAH, GA 31406(912) 216-2499(866) 771-6261 Get Directions Write a Review

NPPES record last updated: April 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 14, 2026, Sep 18, 2025, Sep 7, 2025 and 1 more (4 updates tracked since 2025).

About Tide And Branch Psychiatry Llc NPPES

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

TIDE AND BRANCH PSYCHIATRY LLC (NPI 1679458566) is a healthcare organization registered as an adult mental health in Savannah, Georgia and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through December 15, 2027 and lists Calysta Medley Tilley, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1679458566
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTIDE AND BRANCH PSYCHIATRY LLC
Location Address37 W FAIRMONT AVE STE 317Savannah, GA 31406-3458
Mailing Address37 W Fairmont Ave Ste 317Savannah, GA 31406-3458 · (912) 216-2499 · Fax (866) 771-6261
Phone(912) 216-2499
Fax(866) 771-6261
Organization SubpartNo
Authorized OfficialCalysta Medley TilleyCo-owner · (912) 216-2499
Enumeration DateAugust 8, 2025
Last NPPES UpdateApril 14, 20264 updates tracked since enumeration
NPPES CertifiedApril 14, 2026
✔ NPI 1679458566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
37 W FAIRMONT AVE STE 317, Savannah, GA 31406
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tide And Branch Psychiatry Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Tide And Branch Psychiatry LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Ashley Lewis, CPNP-PC, PMHNP-BC
Nurse Practitioner
NPI 1043797095
300 COMMERCIAL CT UNIT F
Savannah, GA 31406
(912) 744-0885
✔ PECOS1.0 mi
Paige Marnell, M.D.
Psychiatry
NPI 1619316163
800 E 70TH ST
Savannah, GA 31405
(912) 790-6500
✔ PECOS✔ Accepts Medicare2.5 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2335677

Tide And Branch Psychiatry · Savannah, GA
Active · expires Dec 15, 2027
CLIA Number11D2335677
Laboratory TypePhysician Office
Certificate Effective DateDecember 16, 2025
Certificate Expiration DateDecember 15, 2027
Laboratory DirectorPaige L. Marnell
Laboratory Phone(912) 216-2499
Laboratory LocationTide And Branch Psychiatry37 W Fairmont Avenue, Suite 317, Savannah, GA 31406
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Tide And Branch Psychiatry LLC's NPI number?

The NPI number for Tide And Branch Psychiatry LLC is 1679458566. It was assigned to this organization in the NPPES registry on August 8, 2025.

Where is Tide And Branch Psychiatry LLC located?

Tide And Branch Psychiatry LLC is located at 37 W Fairmont Ave Ste 317, Savannah, GA 31406. The listed phone number is (912) 216-2499.

What is Tide And Branch Psychiatry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Tide And Branch Psychiatry LLC enrolled in Medicare?

Yes. Tide And Branch Psychiatry LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tide And Branch Psychiatry LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tide And Branch Psychiatry LLC, in Nurse Practitioner and Psychiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tide And Branch Psychiatry LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2335677) is associated with this NPI, valid through December 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tide And Branch Psychiatry LLC was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.