Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790978526 Individual Practitioner Female Practitioner

Brena Johnson Siddall , PA-C

Physician Assistant • Mc Rae, GA

Professional Overview & Biography Verified Profile Summary

Brena Siddall, PA-C is a registered healthcare professional specializing in Physician Assistant in Mc Rae, GA. Practice services are available at 280 E WILLOW CREEK LN under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

280 E Willow Creek Ln

Mc Rae, GA 310555126

Telephone 4788643448
Fax 4788641288
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Mc Rae, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Mc Rae, GA (4726 Statewide)

Telehealth Adoption Rate
0.0% 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 3400

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 Georgia License
003400 (GA)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Mitzi Weekley , FNP-C

Nurse Practitioner - Family

NPI 1003326604

Family Nurse Practitioner (Certified)

Dr. Alesha Edwards , DPM

Podiatrist - Foot & Ankle Surgery

NPI 1023353497

Doctor of Podiatric Medicine

Keshana Snead , APRN

Nurse Practitioner - Family

NPI 1033447610

Advanced Practice Registered Nurse

Heather Spivey , FNP-C

Nurse Practitioner - Family

NPI 1033828629

Family Nurse Practitioner (Certified)

Dr. Tanya Jones , MD

Family Medicine

NPI 1053467308

Doctor of Medicine (M.D.)

Tierra Murray , LCSW

Social Worker - Clinical

NPI 1093525255

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 20, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 20, 2015

Registered at 280 E WILLOW CREEK LN, MC RAE, GA 310555126 (Tel: 4788643448)

📍
Updated Business Mailing Address August 20, 2015

Registered at 2251 W ELM ST, WRIGHTSVILLE, GA 310962017 (Tel: 4788643448)

👤
Provider Name / Credentials Updated August 20, 2015

Recorded as BRENA SIDDALL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 20, 2015

Physician Assistant (License #3400 in GA)

🟢
Initial NPI Registration & Enumeration August 24, 2007

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: 1790978526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 24, 2007
Last Update: August 20, 2015
Sole Proprietor: No

Mailing Address

2251 W Elm St

Wrightsville, GA 310962017

Phone: 4788643448

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.