NPI age
19 years
Enumerated 2006-11-15
● Active Type 2 · Organization
Physician Support Associates Pc
Physician Support Associates Pc is 1 of 54 pharmacy organizations in Georgia.
Primary specialty
Pharmacy
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Iteogu
President
Last NPPES update
2013-03-14
Source: monthly bulk 2026-05
How this organization compares
Across 54 active pharmacy providers in Georgia.
NPI age
19 years
↑ 6 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 70% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-11Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
1021 Daisy Park
MacOn, GA 312012020
Mailing address
1021 Daisy Park
MacOn, GA 312012020
Authorized official
Michael Iteogu, PHARMD
President
📞 4787462842
Specialties
-
Pharmacy PrimaryPharmacy-based, decentralized patient care organization with expertise in USP 797-compliant sterile drug compounding that provides care to patients with acute or chronic conditions generally pertaining to parenteral administration of...
-
Durable Medical Equipment & Medical SuppliesA supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
-
PharmacyA pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000320251A | |
| 01 | 1140336 | NCPDP PROVIDER IDENTIFICATION NUMBER |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
PHYSICIAN SUPPORT ASSOCIATES INC
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
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