Active NPIIndividual provider

Mrs. Calysta M Tilley, PA-C, CAQ-PSYCH

Physician Assistant in Savannah, Georgia

NPI Number1770124026
Practice location
37 W Fairmont Ave Ste 317, Savannah, GA 31406-3458
Fax
866-771-6261
Last updated
May 4, 2026

Calysta Medley Tilley is a Physician Assistant based in Savannah, GA. Calysta Medley Tilley practices in Savannah, GA and has the professional credentials of PA-C, CAQ-PSYCH. The NPI Number for Calysta Medley Tilley is 1770124026 and holds a License No. 25MP00966300 (NJ). The current practice location address for Calysta Medley Tilley is 37 W Fairmont Ave Ste 317, Savannah, GA 31406-3458 and can be reached out via phone at 912-216-2499 and via fax at 866-771-6261.

Provider Profile Details

NPI Number
1770124026
Provider Name
Calysta Medley Tilley
Credential
PA-C, CAQ-PSYCH
Provider Entity Type
Individual
Gender
Female
Address
37 W Fairmont Ave Ste 317, Savannah, GA 31406-3458
Phone Number
912-216-2499
Fax Number
866-771-6261
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
October 7, 2019
Last Update Date
May 4, 2026
Certification Date
May 4, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
37 W Fairmont Ave Ste 317
Savannah, GA 31406-3458
State
Georgia
Zip
31406-3458
Phone Number
912-216-2499
Fax Number
866-771-6261
Savannah, GA 31406Get directions →

Provider Business Mailing Address Details

Address
37 W Fairmont Ave Ste 317
Savannah, GA 31406-3458
City
Savannah
State
GA
Zip
31406-3458
Phone Number
912-216-2499
Fax Number
866-771-6261

License Information

License Number (1)
25MP00966300
License State (1)
NJ
Taxonomy (1)
Physician Assistant · 363A00000X
License Number (2)
9493
License State (2)
GA
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Calysta M Tilley, PA-C, CAQ-PSYCH?

The NPI number of Mrs. Calysta M Tilley, PA-C, CAQ-PSYCH is 1770124026. It was assigned on October 7, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Calysta M Tilley, PA-C, CAQ-PSYCH?

Mrs. Calysta M Tilley, PA-C, CAQ-PSYCH is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00966300.

Where does Mrs. Calysta M Tilley, PA-C, CAQ-PSYCH practice?

The practice location is 37 W Fairmont Ave Ste 317, Savannah, GA 31406-3458. The office can be reached at 912-216-2499 (phone) or 866-771-6261 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770124026 directly on the NPPES registry website.

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