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Deactivated NPI 1598918138 Deactivated / Inactive NPI Female Practitioner

Angela Bouknecht , PA

Physician Assistant • Athens, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Angela Bouknecht has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 28, 2008
NPI Deactivation Date June 04, 2021
Total Practice Duration ~13 Years of Practice (2008 – 2021)

Professional Overview & Biography Verified Profile Summary

Angela Bouknecht, PA was a registered Physician Assistant practicing in Athens, GA. Throughout an active medical career spanning 13 years, Angela Bouknecht provided care at the practice location at 55 CARLTON ST until profile deactivation on 2021-06-04.

Practice Location & Contact Primary Location

Practice Address

55 Carlton St

Athens, GA 306021526

Telephone 7065428621
Fax 7065830217
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.6 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
99 Specialists

Practicing in Athens, GA (4726 Statewide)

Telehealth Adoption Rate
7.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 002362

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Ron Elliott , MD

Family Medicine

NPI 1013195023

Doctor of Medicine (M.D.)

Dr. Garth Russo , MD

Family Medicine

NPI 1013195825

Doctor of Medicine (M.D.)

Dr. Paul Peteet , MD

Internal Medicine

NPI 1023296928

Doctor of Medicine (M.D.)

NPI 1043498751

Doctor of Philosophy (Ph.D.)

Dr. Carl Smith , MD

Clinical Pharmacology

NPI 1043498827

Doctor of Medicine (M.D.)

NPI 1093993784

Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2021

Record deactivated on June 04, 2021

NPI Profile Active October 06, 2009

NPI status registered as active in NPPES database

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Updated Practice Location October 06, 2009

Registered at 55 CARLTON ST, ATHENS, GA 306021526 (Tel: 7065428621)

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Updated Business Mailing Address October 06, 2009

Registered at 55 CARLTON ST, ATHENS, GA 306021526 (Tel: 7065428621)

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Provider Name / Credentials Updated October 06, 2009

Recorded as ANGELA BOUKNECHT, P.A.

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2009

Physician Assistant (License #002362 in GA)

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Initial NPI Registration & Enumeration October 28, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598918138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 28, 2008
Last Update: October 06, 2009
Deactivation Date: June 04, 2021

Mailing Address

55 Carlton St

Athens, GA 306021526

Phone: 7065428621

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.