CMS NPPES uses NUCC taxonomy code 363AM0700X for provider records classified as Medical within Physician Assistant. The taxonomy identifies the category reported on the NPI record; it does not by itself verify services offered, current...
GA license #9577taxonomy 363AM0700X
Medicare directory context
Attributes below come from the CMS Doctors & Clinicians dataset used by Medicare Care Compare,
retrieved 2026-08-21. They apply only to this clinician's public Medicare listing.
Medicare specialties
Physician Assistant
Medical school
Philadelphia College Of Osteopathic Medicine
Graduation year 2019
Largest Medicare group
126 members
Largest listed enrollment group
Facility affiliations reported by CMS
Georgia Heart Institute Llc
Medicare listing data does not guarantee that a clinician is accepting new patients or that a service is covered.
View the CMS dataset →
Practice context
Part of a multi-provider practice. 699 other active providers share this practice address in NPPES.
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