What is Marissa Tillman's NPI number?

Marissa Tillman's National Provider Identifier (NPI) is 1265376123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Marissa Tillman's specialty?

Marissa Tillman is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).

Where is Marissa Tillman located?

Marissa Tillman's practice location on file with NPPES is 500 Washington St Se, Gainesville, GA 30501-3628.

What is Marissa Tillman's phone number?

The practice phone number listed in the NPPES registry for Marissa Tillman is (770) 534-6299.

Is Marissa Tillman's NPI active?

Yes — Marissa Tillman's NPI (1265376123) is active in the NPPES registry as of the last update on 2026-04-20.

IndividualActive

Marissa Tillman

NPI 1265376123 · Physician Assistant · Gainesville, GA

Marissa Tillman is a Physician Assistant provider in Gainesville, GA (NPI 1265376123).

Provider details

NPI number: 1265376123
Entity type: Individual
Primary specialty: Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

Physician AssistantPrimary363A00000X
Physician Assistants & Advanced Practice Nursing Providers

Profile Score

Basic profile(46/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
Under 1 yr in registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

500 Washington St Se

Gainesville, GA 30501-3628

Phone: (770) 534-6299

Street-level locationGet directions

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Mailing address