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Active NPI 1538834619 Individual Practitioner Male Practitioner

Ethan Irvin , PHYSICIAN ASSISTANT

Physician Assistant • Robins Afb, GA

Professional Overview & Biography Verified Profile Summary

Ethan Irvin, PHYSICIAN ASSISTANT is a registered healthcare professional specializing in Physician Assistant in Robins Afb, GA. Practice services are available at 655 7TH ST BLDG 700 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

655 7th St Bldg 700

Robins Afb, GA 310982227

Telephone 4784977569
Associated Practice Facility / Clinic
🏢 78th Medgrp-Robins Facility NPI 1417363482

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Robins Afb, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
12 Specialists

Practicing in Robins Afb, 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

CMS Verified: 2023-07-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Military Health Care Provider

NUCC Taxonomy Code: 171000000X

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

Practice Associates & Co-Workers

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

20 Associated Practitioners
NPI 1023079944

Doctor of Optometry

Andrea Russo , PA

Physician Assistant

NPI 1043082183

Physician Assistant

Brittany White

Preventive Medicine - Occupational Medicine

NPI 1104206366
Robert Desantis , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1184221244
Aurianna Lively , LCSW

Social Worker - Clinical

NPI 1396273926

Licensed Clinical Social Worker

NPI 1477808012

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 28, 2023

Registered at 655 7TH ST BLDG 700, ROBINS AFB, GA 310982227 (Tel: 4784977569)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 28, 2023

Military Health Care Provider

📍
Updated Business Mailing Address March 08, 2023

Registered at 2803 MEDICAL CAMPUS DR, GOLDSBORO, NC 27531 (Tel: 9197221802)

NPI Profile Active August 12, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2021

Registered at 2803 MEDICAL CAMPUS, SEYMOUR JOHNSON AFB, NC 27531 (Tel: 9197224721)

📍
Updated Business Mailing Address August 12, 2021

Registered at 765 BARTLETT RD NE, PIKEVILLE, NC 278639060

👤
Provider Name / Credentials Updated August 12, 2021

Recorded as ETHAN IRVIN, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2021

Physician Assistant

🟢
Initial NPI Registration & Enumeration August 11, 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: 1538834619
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 11, 2021
Last Update: July 28, 2023
Sole Proprietor: Yes

Mailing Address

2803 Medical Campus Dr

Goldsboro, NC 27531

Phone: 9197221802

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.