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Physician Assistants (Physician Assistant)

At a glance

In the NPI registry since
2018

The NPI date is when this clinician registered for a National Provider Identifier, the billing number used on health claims. It is not a license, graduation or board-certification date. What an NPI is

Education and training

  • 2018Registered with an NPI (national billing number; not a license date)

Medicare’s Care Compare data doesn’t list this clinician’s medical school. Undergraduate school, residency, fellowship, licensing exams and board certification aren’t in public federal data. Board certification can be confirmed with the certifying board (ABMS member boards for MDs, AOA boards for DOs).

Specialties and state licenses

  • Physician Assistant primary
    GA license 8962

As reported to the NPI registry. To confirm a license is current, check the state medical board.

Map: Physician Assistants per capita by county →

Other Physician Assistants clinicians in Decatur

Sources

NPI registry (CMS NPPES, November 2026; record last updated June 1, 2021), Medicare Care Compare, Medicare Physician & Other Practitioners (2024), Medicare Part D Prescribers (2024) and Open Payments (2025). Information is self-reported or billed data and may be out of date; call before visiting.

NPI 1356812135. Official NPI registry record (opens in a new tab). Clinicians can correct their information in NPPES; changes appear here after our next monthly update.