Stillwell Medical Group
NPI 1659414175ActiveOrganization· Physician Assistant· Loganville, GA
Physician Assistant in Loganville, Georgia, registered in NPPES in February 2007. The authorized official on file is Latondra Denise Barker, Manager.
Overview
| NPI | 1659414175 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2007 |
| Last updated in NPPES | Feb 4, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 3135 | GA |
| Specialist/Technologist, Other, Surgical Assistant | 246ZC0007X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 15 physician assistants in Loganville · All physician assistants in Georgia