Active NPI
Ashlee Nicole Sharer Tillery, MD
- Obstetrics & Gynecology Physician
- Vidalia, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 89018
- Practice address
- 101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852 - Phone
- (912) 537-1014
- Fax
- (912) 538-0979
- NPI assigned
- May 1, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 89018 | GA | Primary |
Addresses
Primary practice location
101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852
Mailing address
101 Harris Industrial Blvd Ste C
Vidalia, GA 30474-8852
Phone (912) 537-1014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 Harris Industrial Blvd
Suite C
Vidalia, GA 30474-8852
Phone (912) 537-1014
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.94 of 100
- Quality
- 76.86
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009002 | GA | MD | Professional Counselor |
| 89018 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Multispecialty Associates, LLC | Current | Accepting new patients | |
| Vidalia Health Services, LLC | Past | Accepting new patients |
Locations
11 Johnson St
Hazlehurst, GA 31539
Phone (800) 367-0816
101 Harris Industrial Blvd
Ste C
Vidalia, GA 30474
1707 Meadows Ln
Ste A
Vidalia, GA 30474
Phone (912) 538-0003
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Interoperability endpoints
- ashlee.tillery@hca5.eclinicaldirectplus.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Lyons, GA
- NPI 1952990533
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vidalia, GA
- NPI 1790376564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1356876197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 HARRIS INDUSTRIAL BLVD STE C",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304748852",
"telephone_number": "912-537-1014",
"fax_number": "912-538-0979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 HARRIS INDUSTRIAL BLVD STE C",
"city": "VIDALIA",
"state": "GA",
"postal_code": "304748852",
"telephone_number": "912-537-1014",
"fax_number": "912-538-0979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TILLERY",
"first_name": "ASHLEE NICOLE",
"middle_name": "SHARER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-01",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "89018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vidalia, GA
- Thomas M. Allen M.D., LLC
- Pam McIntyre Or Lou Thompson, RD LD RDN LDN
- Taylor Thompson
- Three Rivers Home Health Services, Inc.
- Christina Michelle Tidwell, PA
- Katrina A Toler, CERTIFIED FIRST ASSI
- Sarah Hammock Toler, FNP-C
- Toombs County Commissioners (Toombs County EMS)
- Toombs County Dental Clinic
- Total Renal Care Inc (Vidalia First Street Dialysis)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.