Active NPI 1144635384 Individual Practitioner Female Practitioner

Etorda Aretha Barkley , PA-C

Physician Assistant • Augusta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Etorda Barkley, PA-C is a certified Physician Assistant practicing in Augusta, GA. With approximately 13 years of clinical experience since completing medical education in 2013, Etorda Barkley delivers high-quality medical care to the local community at 1701 MAGNOLIA WAY STE 101.

Etorda Barkley is affiliated with Hospital Physician Services - Southeast Professional Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1701 Magnolia Way Ste 101

Augusta, GA 309099484

Telephone 7069226600

Associated Practice Facility / Clinic

🏢 Cpc-Crossroads Facility NPI 1205179173

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Augusta, GA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs +2.7 yrs vs City Avg

City Avg: 10.3 Yrs

State Avg: 12.9 Yrs

Regional Practice Density

234 Specialists

Practicing in Augusta, GA (4726 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

73.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Barkley (13 Years) 13 Yrs

Augusta Specialty Average (10.3 Years) 10.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	192	26	$10.00	$0.11
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	183	150	$25.00	$13.22
99213 Established patient office or other outpatient visit, typically 15 minutes	168	136	$155.00	$70.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	84	$185.00	$99.05
36415 Insertion of needle into vein for collection of blood sample	71	61	$55.00	$8.54
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	59	52	$85.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	53	45	$115.00	$10.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	43	$85.00	$10.96
J0696 Injection, ceftriaxone sodium, per 250 mg	41	16	$30.00	$0.45
71046 X-ray of chest, 2 views	36	36	$110.00	$25.67
81003 Automated urinalysis test	30	29	$35.00	$2.15
84481 Thyroid hormone, t3 measurement, free	29	28	$150.00	$16.60
84443 Blood test, thyroid stimulating hormone (TSH)	29	28	$145.00	$16.46
84439 Thyroxine (thyroid chemical), free	29	28	$85.00	$8.84
83036 Hemoglobin A1C level	29	28	$75.00	$9.52
82746 Folic acid level	28	27	$100.00	$14.41
82607 Cyanocobalamin (vitamin B-12) level	28	27	$110.00	$14.78
80061 Blood test, lipids (cholesterol and triglycerides)	27	26	$135.00	$13.12
84550 Uric acid level, blood	26	25	$40.00	$4.43
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	24	24	$130.00	$68.88
82306 Vitamin d-3 level	15	15	$95.00	$29.01
99495 Transitional care management services for problem of at least moderate complexity	14	13	$295.00	$162.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	116	99	$55.00	$8.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	99	86	$85.00	$7.47
80053 Blood test, comprehensive group of blood chemicals	93	81	$115.00	$10.31
99213 Established patient office or other outpatient visit, typically 15 minutes	65	56	$155.00	$70.01
84481 Thyroid hormone, t3 measurement, free	62	57	$150.00	$16.10
84439 Thyroxine (thyroid chemical), free	62	57	$85.00	$8.57
84443 Blood test, thyroid stimulating hormone (TSH)	60	55	$145.00	$16.46
J1100 Injection, dexamethasone sodium phosphate, 1 mg	59	17	$10.00	$0.12
82607 Cyanocobalamin (vitamin B-12) level	57	53	$110.00	$14.30
80061 Blood test, lipids (cholesterol and triglycerides)	57	52	$135.00	$12.69
83036 Hemoglobin A1C level	57	52	$75.00	$9.04
82746 Folic acid level	56	53	$100.00	$13.93
71046 X-ray of chest, 2 views	48	43	$110.00	$25.50
84550 Uric acid level, blood	44	40	$40.00	$4.24
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	36	34	$130.00	$42.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	33	$185.00	$99.90
81003 Automated urinalysis test	35	33	$35.00	$2.20
82306 Vitamin d-3 level	31	31	$95.00	$28.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	23	$78.08	$10.71
83550 Iron binding capacity	14	14	$70.00	$8.57
83540 Iron level	14	14	$50.00	$6.34
82728 Ferritin (blood protein) level	14	14	$115.00	$13.36
82570 Creatinine level to test for kidney function or muscle injury	12	12	$45.00	$5.08
82043 Urine microalbumin (protein) level	12	12	$70.00	$5.66
74176 Ct scan of abdomen and pelvis without contrast	11	11	$1875.00	$143.60
G0103 Prostate cancer screening; prostate specific antigen test (psa)	11	11	$165.00	$18.92

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	248	35	$10.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	242	173	$155.00	$72.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	171	136	$185.00	$100.30
36415 Insertion of needle into vein for collection of blood sample	137	114	$55.00	$2.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	118	101	$85.00	$7.67
80053 Blood test, comprehensive group of blood chemicals	112	93	$115.00	$10.42
81003 Automated urinalysis test	84	69	$35.00	$2.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	64	$80.13	$11.15
80061 Blood test, lipids (cholesterol and triglycerides)	65	58	$135.00	$12.79
J0696 Injection, ceftriaxone sodium, per 250 mg	64	21	$30.00	$0.49
84439 Thyroxine (thyroid chemical), free	61	55	$84.51	$8.60
71046 X-ray of chest, 2 views	61	57	$110.00	$26.43
84481 Thyroid hormone, t3 measurement, free	61	55	$150.00	$16.15
84443 Blood test, thyroid stimulating hormone (TSH)	59	54	$145.00	$16.56
83036 Hemoglobin A1C level	55	51	$75.00	$9.40
82306 Vitamin d-3 level	46	46	$95.00	$28.51
82607 Cyanocobalamin (vitamin B-12) level	44	40	$110.00	$14.86
82746 Folic acid level	43	39	$100.00	$14.49
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	43	42	$130.00	$29.80
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$95.00	$11.37
83550 Iron binding capacity	23	18	$70.00	$8.63
82728 Ferritin (blood protein) level	23	18	$115.00	$13.46
83540 Iron level	23	18	$50.00	$6.39
G0008 Administration of influenza virus vaccine	23	23	$65.00	$27.22
90662 Influenza vaccine split virus, preservative free	21	21	$139.76	$68.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$225.00	$104.63
99496 Transitional care management services for problem of high complexity	12	11	$625.00	$221.92
G0103 Prostate cancer screening; prostate specific antigen test (psa)	12	12	$165.00	$19.03
82570 Creatinine level to test for kidney function or muscle injury	11	11	$45.00	$5.12
86677 Analysis for antibody to helicobacter pylori (gastrointestinal bacteria)	11	11	$110.00	$16.63

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	333	254	$155.00	$73.43
J1100 Injection, dexamethasone sodium phosphate, 1 mg	236	30	$10.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	139	$185.00	$105.41
36415 Insertion of needle into vein for collection of blood sample	135	110	$55.00	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	108	93	$85.00	$7.70
80053 Blood test, comprehensive group of blood chemicals	95	84	$115.00	$10.56
81003 Automated urinalysis test	92	79	$35.00	$2.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	68	50	$85.00	$10.94
71046 X-ray of chest, 2 views	60	53	$110.00	$26.06
84439 Thyroxine (thyroid chemical), free	53	52	$85.00	$9.02
84481 Thyroid hormone, t3 measurement, free	53	52	$150.00	$16.94
84443 Blood test, thyroid stimulating hormone (TSH)	53	52	$145.00	$16.80
80061 Blood test, lipids (cholesterol and triglycerides)	49	49	$135.00	$13.39
83036 Hemoglobin A1C level	45	43	$75.00	$9.71
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	45	43	$130.00	$62.18
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	42	41	$95.00	$34.49
83721 Ldl cholesterol level	41	41	$95.00	$10.50
J0696 Injection, ceftriaxone sodium, per 250 mg	32	11	$30.00	$0.54
93000 Routine ekg using at least 12 leads including interpretation and report	28	28	$95.00	$11.93
82746 Folic acid level	26	26	$100.00	$14.70
82607 Cyanocobalamin (vitamin B-12) level	25	25	$110.00	$15.08
82306 Vitamin d-3 level	24	24	$95.00	$29.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$225.00	$108.03
82044 Urine microalbumin (protein) analysis	14	14	$30.00	$6.23
82570 Creatinine level to test for kidney function or muscle injury	14	14	$45.00	$5.18
83550 Iron binding capacity	11	11	$70.00	$8.74
72120 X-ray lower and sacral spine including bending views 2 or 3 views	11	11	$125.00	$32.05
82728 Ferritin (blood protein) level	11	11	$115.00	$13.63
83540 Iron level	11	11	$50.00	$6.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	370	271	$154.70	$60.63
J1100 Injection, dexamethasone sodium phosphate, 1 mg	248	38	$10.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	123	108	$55.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	90	$185.00	$87.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	101	92	$85.00	$7.71
80053 Blood test, comprehensive group of blood chemicals	97	89	$115.00	$10.48
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	86	72	$85.00	$11.46
81003 Automated urinalysis test	83	77	$35.00	$2.24
J0696 Injection, ceftriaxone sodium, per 250 mg	60	25	$30.00	$0.59
71046 X-ray of chest, 2 views	47	44	$110.00	$25.80
84443 Blood test, thyroid stimulating hormone (TSH)	37	37	$145.00	$16.71
84439 Thyroxine (thyroid chemical), free	36	36	$84.72	$8.97
84481 Thyroid hormone, t3 measurement, free	35	35	$150.00	$16.84
80061 Blood test, lipids (cholesterol and triglycerides)	34	33	$135.00	$13.33
83721 Ldl cholesterol level	32	31	$95.00	$10.45
83036 Hemoglobin A1C level	29	29	$75.00	$9.67
93000 Routine ekg using at least 12 leads including interpretation and report	24	24	$95.00	$13.11
G0008 Administration of influenza virus vaccine	22	22	$65.00	$15.90
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	21	20	$70.71	$35.33
81001 Manual urinalysis test with examination using microscope, automated	21	21	$35.00	$2.99
82306 Vitamin d-3 level	18	17	$95.00	$29.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	18	18	$225.00	$93.92
82607 Cyanocobalamin (vitamin B-12) level	17	17	$110.00	$15.01
82746 Folic acid level	15	15	$100.00	$14.62
90662 Influenza vaccine split virus, preservative free	14	14	$65.00	$59.76
74176 Ct scan of abdomen and pelvis without contrast	11	11	$1875.00	$159.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	501	368	$155.00	$59.72
J1100 Injection, dexamethasone sodium phosphate, 1 mg	244	42	$10.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	155	134	$55.00	$2.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	132	119	$85.00	$8.46
80053 Blood test, comprehensive group of blood chemicals	131	116	$115.00	$11.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	112	79	$85.00	$13.42
71046 X-ray of chest, 2 views	92	88	$110.00	$25.28
81003 Automated urinalysis test	84	75	$35.00	$2.44
J1885 Injection, ketorolac tromethamine, per 15 mg	56	12	$30.00	$0.52
99496 Transitional care management services for problem of high complexity	51	46	$375.00	$189.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	46	$185.00	$88.12
81001 Manual urinalysis test with examination using microscope, automated	46	44	$35.00	$3.45
84443 Blood test, thyroid stimulating hormone (TSH)	42	42	$145.00	$18.30
84481 Thyroid hormone, t3 measurement, free	38	38	$150.00	$18.44
84439 Thyroxine (thyroid chemical), free	38	38	$84.74	$9.82
80061 Blood test, lipids (cholesterol and triglycerides)	32	32	$135.00	$14.58
83721 Ldl cholesterol level	28	28	$95.00	$10.39
94640 Inhalation treatment for airway obstruction or sputum production	24	22	$75.00	$14.08
83036 Hemoglobin A1C level	24	24	$75.00	$10.57
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$95.00	$13.85
82306 Vitamin d-3 level	19	19	$95.00	$32.23
G0008 Administration of influenza virus vaccine	19	19	$65.00	$15.59
82607 Cyanocobalamin (vitamin B-12) level	16	16	$110.00	$16.41
90662 Influenza vaccine split virus, preservative free	16	16	$65.00	$54.89
J1030 Injection, methylprednisolone acetate, 40 mg	15	15	$45.00	$6.36
82746 Folic acid level	15	15	$100.00	$16.01
73030 X-ray of shoulder, minimum of 2 views	15	14	$130.00	$24.04
J1040 Injection, methylprednisolone acetate, 80 mg	14	14	$50.00	$12.28
74176 Ct scan of abdomen and pelvis without contrast	14	14	$1875.00	$161.40
74019 X-ray of abdomen, 2 views	14	14	$100.00	$27.78
99495 Transitional care management services for problem of at least moderate complexity	13	13	$295.00	$134.31
83550 Iron binding capacity	13	11	$70.00	$9.52
83540 Iron level	13	11	$50.00	$7.05
82728 Ferritin (blood protein) level	13	11	$115.00	$14.85
71250 Ct scan of chest without contrast	12	12	$950.00	$121.51
82947 Blood glucose (sugar) level	11	11	$30.00	$4.28
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	11	11	$85.00	$17.69
72220 X-ray of sacrum and tailbone, minimum of 2 views	11	11	$110.00	$24.29
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	11	11	$30.00	$1.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	305	236	$155.00	$57.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	224	159	$185.00	$84.28
J1100 Injection, dexamethasone sodium phosphate, 1 mg	199	32	$10.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	132	106	$55.00	$2.90
71046 X-ray of chest, 2 views	92	83	$110.00	$23.47
80053 Blood test, comprehensive group of blood chemicals	90	79	$115.00	$12.66
81003 Automated urinalysis test	87	69	$35.00	$2.63
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	78	70	$85.00	$9.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	66	54	$85.00	$15.48
84443 Blood test, thyroid stimulating hormone (TSH)	37	36	$145.00	$20.33
84481 Thyroid hormone, t3 measurement, free	36	35	$150.00	$20.50
84439 Thyroxine (thyroid chemical), free	36	35	$85.00	$10.91
80061 Blood test, lipids (cholesterol and triglycerides)	26	26	$135.00	$16.20
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$95.00	$13.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	25	25	$225.00	$92.37
83036 Hemoglobin A1C level	23	23	$75.00	$11.75
87400 Detection test for Influenza virus, A or B	22	11	$65.00	$13.18
82746 Folic acid level	17	17	$100.00	$17.79
82607 Cyanocobalamin (vitamin B-12) level	17	17	$110.00	$18.24
82306 Vitamin d-3 level	15	15	$95.00	$35.82
83721 Ldl cholesterol level	14	14	$95.00	$11.54
94640 Inhalation treatment for airway obstruction or sputum production	12	12	$75.00	$11.79
G0008 Administration of influenza virus vaccine	11	11	$65.00	$19.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	375	45	$10.00	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	310	240	$155.00	$58.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	97	74	$185.00	$85.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	60	$85.00	$19.20
36415 Insertion of needle into vein for collection of blood sample	71	54	$55.00	$2.82
81003 Automated urinalysis test	64	57	$35.00	$2.97
71020 X-ray of chest, 2 views, front and side	51	50	$110.00	$22.13
87400 Detection test for Influenza virus, A or B	42	21	$65.00	$16.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	42	35	$85.00	$10.20
80053 Blood test, comprehensive group of blood chemicals	42	34	$115.00	$12.79
84481 Thyroid hormone, t3 measurement, free	23	21	$150.00	$21.79
84443 Blood test, thyroid stimulating hormone (TSH)	22	20	$145.00	$21.56
84439 Thyroxine (thyroid chemical), free	22	20	$84.55	$11.57
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$95.00	$13.44
80061 Blood test, lipids (cholesterol and triglycerides)	16	15	$135.00	$13.32
83721 Ldl cholesterol level	15	14	$95.00	$12.83
82150 Amylase (enzyme) level	12	11	$55.00	$8.71
83690 Lipase (fat enzyme) level	12	11	$60.00	$9.26
82306 Vitamin d-3 level	11	11	$95.00	$39.80

Medical Specialties & State Licenses

CMS Verified: 2024-05-23

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 007218

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License

7218 (GA)

Hospital & Practice Group Affiliations

Hospital Physician Services - Southeast Professional Corporation

501 Redmond Rd Nw, Rome, GA 301651415

Phone: 7062910291

Hospital Physician Services - Southeast Professional Corporation

3651 Wheeler Rd, Augusta, GA 309096521

Phone: 7066513232

Practice Associates & Co-Workers

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

9 Associated Practitioners

Dr. Robert Price , MD

Internal Medicine

NPI 1003911587

Doctor of Medicine (M.D.)

Dr. Thomas Smith , MD

Family Medicine

NPI 1013303262

Doctor of Medicine (M.D.)

Dr. Randall Colvin , MD

Family Medicine

NPI 1124078118

Doctor of Medicine (M.D.)

Dr. Rebecca Talley , MD

Family Medicine

NPI 1275573776

Doctor of Medicine (M.D.)

Dr. Robert Clark , DO

Family Medicine

NPI 1386675890

Doctor of Osteopathic Medicine (D.O.)

Rachel Muehlfeld , PA-C

Physician Assistant - Medical

NPI 1487255493

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active December 18, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location December 18, 2015

Registered at 1701 MAGNOLIA WAY STE 101, AUGUSTA, GA 309099484 (Tel: 7069226600)

📍

Updated Business Mailing Address December 18, 2015

Registered at PO BOX 2510, EVANS, GA 308092510 (Tel: 7069226600)

👤

Provider Name / Credentials Updated December 18, 2015

Recorded as ETORDA BARKLEY, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2015

Physician Assistant (License #007218 in GA)

🟢

Initial NPI Registration & Enumeration June 26, 2014

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: 1144635384

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 26, 2014

Last Update: May 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 2510

Evans, GA 308092510

Phone: 7069228251

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.