Katherine Tillem, PA-C - Medicare Physician Assistant in Douglasville, GA

Katherine Tillem, PA-C is a medicare enrolled "Physician Assistant" in Douglasville, Georgia. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Peachtree Immediate Care Fp, Llc, Wellstar Medical Group, Llc and her current practice location is 8901 Stonebridge Blvd Ste 200, Douglasville, Georgia. You can reach out to her office (for appointments etc.) via phone at (943) 202-7120.

Katherine Tillem is licensed to practice in Georgia (license number 9345) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1780239889.

Contact Information

Katherine Tillem, PA-C
8901 Stonebridge Blvd Ste 200,
Douglasville, GA 30134-2254
(943) 202-7120
(470) 986-7087

Map and Direction




Provider's Profile

Full NameKatherine Tillem
GenderFemale
SpecialityPhysician Assistant
Experience5 Years
Location8901 Stonebridge Blvd Ste 200, Douglasville, Georgia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Katherine Tillem graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1780239889
  • Provider Enumeration Date: 08/06/2019
  • Last Update Date: 05/17/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2163713827
  • Enrollment ID: I20200509000121

Medical Identifiers

Medical identifiers for Katherine Tillem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780239889NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 9345 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peachtree Immediate Care Fp, Llc3274559323251
Wellstar Medical Group, Llc67090654021917

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Katherine Tillem is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Katherine Tillem, PA-C
8901 Stonebridge Blvd Ste 200,
Douglasville, GA 30134-2254

Ph: (943) 202-7120
Katherine Tillem, PA-C
8901 Stonebridge Blvd Ste 200,
Douglasville, GA 30134-2254

Ph: (943) 202-7120

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.