MRS. ADRIENNE C ELSTAD NCCPA NPI 1710290218

NPI Information

NPI: 1710290218
Provider Name: MRS. ADRIENNE C ELSTAD, NCCPA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
960 JOHNSON FERRY RD STE 100
ATLANTA, GA
ZIP 30342
Phone: (404) 252-9063
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MRS. Adrienne C Elstad, NCCPA is a medical physician assistant in Atlanta, GA. MRS. Adrienne C Elstad, NCCPA NPI is 1710290218. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

960 JOHNSON FERRY RD STE 100
ATLANTA, GA
ZIP 30342-601
Phone: (404) 252-9063
Fax: (404) 252-0873

The enumeration date for this NPI number is 7/26/2010 and was last updated on 2/9/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	005700	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	749565882G	MEDICAID	GEORGIA
2	749565882F	MEDICAID	GEORGIA
3	749565882E	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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