NPI age
19 years
Enumerated 2007-02-14
● Active Type 2 · Organization
Stillwell Medical Group
Stillwell Medical Group is 1 of 4616 physician assistant organizations in Georgia.
Primary specialty
Physician Assistant
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Barker
Manager
Last NPPES update
2016-02-04
Source: monthly bulk 2026-05
How this organization compares
Across 4616 active physician assistant providers in Georgia.
NPI age
19 years
↑ 11 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 24% of peers with subspecialties
NPI lifetime · 2007 → 2026
2007-02Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
4160 Logan Dr Unit 1596
Loganville, GA 300529516
Mailing address
4160 Logan Dr #1596
Loganville, GA 30052
Authorized official
Latondra Denise Barker
Manager
📞 6785570207
Specialties
-
Physician Assistant PrimaryA 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...
-
Specialist/Technologist, OtherA surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting,...
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 →
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