NPI age
20 years
Enumerated 2006-02-20
● Active
Type 1 · Individual
Gary M Dutka, PA-C
Dutka is 1 of 5 physician assistant providers in Saint Marys and 1 of 1333 in Georgia.
Primary specialty
Physician Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2008-08-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1333 active physician assistant providers in Georgia.
NPI age
20 years
↑ 5 yr above median (15 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
21% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-02Enumerated in NPPES
2006
2026
Where they practice
Practice location
2000 Dan Proctor Dr
Saint Marys, GA 315583810
Mailing address
Po Box 15385
Durham, NC 277040385
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 256737965A | |
| 01 (GA) | 01157750 | AMERIGROUP |
| 05 (GA) | 256737965D | |
| 05 (GA) | 256737965C |
Practice context
Part of a multi-provider practice. 22 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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