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Deactivated NPI 1093782856 Deactivated / Inactive NPI Male Practitioner

Ismael S Osta , PA-C

Physician Assistant • Brunswick, 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, Ismael Osta has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 01, 2006
NPI Deactivation Date May 29, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Ismael Osta, PA-C was a registered Physician Assistant practicing in Brunswick, GA. Throughout an active medical career spanning 19 years, Ismael Osta provided care at the practice location at 3226 HAMPTON AVE until profile deactivation on 2025-05-29.

Historical Medicare Part B clinical services included outpatient office visit, detection test by immunoassay technique for severe acute respiratory syndrome coronavirus, administration of influenza virus vaccine. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

3226 Hampton Ave
Suite G

Brunswick, GA 315204225

Telephone 9122651212
Fax 9122652859
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Brunswick, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
33 Specialists

Practicing in Brunswick, GA (4726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.4% 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)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
115 49 $107.13 $17.78

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 003966

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

4 Associated Practitioners
James Heery

Specialist

NPI 1639270374
Michael Butler

Internal Medicine - Interventional Cardiology

NPI 1780785428
NPI 1831298892

Doctor of Medicine (M.D.)

Mark Watkins

Specialist

NPI 1972604692

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 May 29, 2025

Record deactivated on May 29, 2025

NPI Profile Active December 11, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 11, 2012

Registered at 3226 HAMPTON AVE, SUITE G, BRUNSWICK, GA 315204225 (Tel: 9122651212)

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Updated Business Mailing Address December 11, 2012

Registered at 3226 HAMPTON AVE, SUITE G, BRUNSWICK, GA 31520 (Tel: 9122651212)

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Provider Name / Credentials Updated December 11, 2012

Recorded as ISMAEL OSTA, PA C

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2012

Physician Assistant (License #003966 in GA)

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Initial NPI Registration & Enumeration March 01, 2006

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: 1093782856
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 01, 2006
Last Update: December 11, 2012
Deactivation Date: May 29, 2025

Mailing Address

3226 Hampton Ave, Suite G

Brunswick, GA 31520

Phone: 9122651212

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.