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Active NPI 1114500642 Individual Practitioner Male Practitioner

Douglas A. Hernandez , PA

Physician Assistant • Austell, GA

Professional Overview & Biography Verified Profile Summary

Douglas Hernandez, PA is a registered healthcare professional specializing in Physician Assistant in Austell, GA. Practice services are available at 2041 MESA VALLEY WAY STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, x-ray of lower and sacral spine, minimum of 4 views, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2041 Mesa Valley Way Ste 100

Austell, GA 301066856

Telephone 7709441100
Associated Practice Facility / Clinic
🏢 Resurgens, Llc Facility NPI 1154458800

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Austell, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.1 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
88 Specialists

Practicing in Austell, GA (4726 Statewide)

Telehealth Adoption Rate
12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
96.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
64 48 $213.00 $72.06
72110 X-ray of lower and sacral spine, minimum of 4 views
39 34 $255.00 $41.41
72100 X-ray of lower and sacral spine, 2-3 views
23 16 $181.00 $31.11
72040 X-ray of upper spine, 2-3 views
22 19 $173.00 $27.05
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion
17 11 $1227.50 $29.97
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves
12 12 $4649.00 $67.34
22612 Fusion of spine in lower back
11 11 $5611.00 $214.25

Medical Specialties & State Licenses

CMS Verified: 2023-03-08
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 11487

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

32 Associated Practitioners
Dr. Richard Boe , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1013327642

Doctor of Medicine (M.D.)

Jeffrey Hairston , PA-C

Physician Assistant - Surgical

NPI 1063625051

Physician Assistant (Certified)

Dr. Rafael Urrutia , MD

Orthopaedic Surgery

NPI 1124017397

Doctor of Medicine (M.D.)

Susan Kirby , NP-C

Nurse Practitioner

NPI 1154533875

Nurse Practitioner (Certified)

Nadia Wright

Physician Assistant

NPI 1194414250
Kenneth Holbrook , PA

Physician Assistant

NPI 1194790139

Physician Assistant

Career & Practice History Timeline

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

11 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2023

Physician Assistant (License #11487 in GA)

📍
Updated Practice Location January 12, 2023

Registered at 2041 MESA VALLEY WAY STE 100, AUSTELL, GA 301066856 (Tel: 7709441100)

📍
Updated Business Mailing Address January 12, 2023

Registered at 2041 MESA VALLEY WAY STE 100, AUSTELL, GA 301066856 (Tel: 7709441100)

👤
Provider Name / Credentials Updated January 12, 2023

Recorded as DOUGLAS HERNANDEZ, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 12, 2023

Physician Assistant

NPI Profile Active May 03, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2021

Registered at 6359 DANBURY LN, NORCROSS, GA 300931425 (Tel: 7706050187)

📍
Updated Business Mailing Address May 03, 2021

Registered at 6359 DANBURY LN, NORCROSS, GA 300931425 (Tel: 7706050187)

👤
Provider Name / Credentials Updated May 03, 2021

Recorded as DOUGLAS HERNANDEZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 03, 2021

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: 1114500642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2021
Last Update: March 08, 2023
Sole Proprietor: No

Mailing Address

2041 Mesa Valley Way Ste 100

Austell, GA 301066856

Phone: 7709441100

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.