Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1235967050 Individual Practitioner Male Practitioner

Kendrick Ruelo De Castro , PA-C

Physician Assistant • Marietta, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kendrick De Castro, PA-C is a certified Physician Assistant practicing in Marietta, GA. With approximately 2 years of clinical experience since completing medical education in 2024, Kendrick De Castro delivers high-quality medical care to the local community at 400 TOWER RD NE STE 200.

Kendrick De Castro is affiliated with Wellstar Medical Group Llc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

400 Tower Rd Ne Ste 200

Marietta, GA 300609412

Telephone 7704221372
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Marietta, GA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
210 Specialists

Practicing in Marietta, GA (4726 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. De Castro (2 Years) 2 Yrs
Marietta Specialty Average (10.6 Years) 10.6 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-21
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License GA 12626

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Wellstar Medical Group Llc

2518 Jimmy Lee Smith Pkwy, Hiram, GA 301412068

Phone: 7707324022

Wellstar Medical Group Llc

3950 Austell Rd, Austell, GA 301061121

Phone: 7707324022

Wellstar Medical Group Llc

677 Church St Ne, Marietta, GA 300601101

Phone: 4707938585

Wellstar Medical Group Llc

625 Church Nest, Marietta, GA 300601101

Phone: 7704222004

Wellstar Medical Group Llc

8954 Hospital Dr, Douglasville, GA 301342272

Phone: 6788382585

Wellstar Medical Group Llc

5150 Stilesboro N W Rd, Kennesaw, GA 301527742

Phone: 7704248222

Wellstar Medical Group Llc

677 Church Nest, Marietta, GA 300601101

Secondary Practice Locations

1664 Mulkey Rd

Austell, GA 301061114

Phone: 7704221372

Practice Associates & Co-Workers

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

40 Associated Practitioners
Sarika Mishra , NP

Nurse Practitioner - Acute Care

NPI 1003445313

Nurse Practitioner

Dr. Safal Shetty , MD

Internal Medicine - Pulmonary Disease

NPI 1013192384

Doctor of Medicine (M.D.)

Dr. Asif Saberi , MD

Internal Medicine - Critical Care Medicine

NPI 1023067824

Doctor of Medicine (M.D.)

John Scarborough , ACNPC-AG

Nurse Practitioner - Critical Care Medicine

NPI 1023542925

ACNPCAG

Kamara Heard , ACNP

Nurse Practitioner - Acute Care

NPI 1033442454
Dr. Jeffrey Michaelson , MD

Internal Medicine - Pulmonary Disease

NPI 1063495521

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
👤
Provider Name / Credentials Updated October 21, 2024

Recorded as KENDRICK DE CASTRO, PA-C

NPI Profile Active July 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2024

Registered at 400 TOWER RD NE STE 200, MARIETTA, GA 300609412 (Tel: 7704221372)

📍
Updated Business Mailing Address July 23, 2024

Registered at 1845 PIEDMONT AVE NE APT 522, ATLANTA, GA 303245170 (Tel: 4048611549)

👤
Provider Name / Credentials Updated July 23, 2024

Recorded as KENDRICK DE CASTRO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 23, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kendrick De Castro. Be the first to share your experience!

Sign in to leave a review for Kendrick De Castro

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1235967050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2024
Last Update: October 21, 2024
Sole Proprietor: Yes

Mailing Address

1845 Piedmont Ave Ne Apt 522

Atlanta, GA 303245170

Phone: 4048611549

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.