P Praxis·MD
● Active Type 1 · Individual

Bernadette T Skruck, PA

Physician Assistant·Augusta, GA· NPI 1063738722 · Enumerated 2010 · 16 years on NPI
Skruck is 1 of 35 physician assistant providers in Augusta and 1 of 640 in Georgia.
NPI age
16 years
Enumerated 2010-04-20
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-01-15
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 640 active physician assistant providers in Georgia.

NPI age
16 years
↑ 3 yr above median (13 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
37% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-04Enumerated in NPPES
2010 2026

Where they practice

Practice location
1348 Walton Way Ste 5700
Augusta, GA 309015110
📞 7067228242fax 7067228351
Mailing address
2405 Persimmon Rd
Augusta, GA 309043354
📞 3129276634

Specialties

  • Physician Assistant Primary
    Definition to come...
    GA license #6394 taxonomy 363AS0400X

Practice context

Part of a multi-provider practice. 15 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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