Organization Active NPI

Tillman Academy

  • School Counselor
  • Jefferson, GA
National Provider Identifier
1518895523
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Legal business name
TILLMAN ACADEMY
Practice address
122 Washington St
Jefferson, GA 30549-6660
Phone
(762) 445-4925
NPI assigned
May 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sharesa Lashun TillmanNPI 1700610722
Title
Administrator
Phone
(762) 445-4925

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X Primary

Addresses

Primary practice location

122 Washington St
Jefferson, GA 30549-6660

Mailing address

PO Box 54
Hoschton, GA 30548-0054
Phone (762) 445-4925

National Provider Directory

National Provider Directory

Locations

122 Washington St
Jefferson, GA 30549
Phone (762) 445-4925

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1518895523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305480054",
            "telephone_number": "762-445-4925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 WASHINGTON ST",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496660",
            "telephone_number": "762-445-4925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLMAN ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-11",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "SHARESA",
        "authorized_official_middle_name": "LASHUN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "762-445-4925"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.