OLIVIA NEELEY PA-C NPI 1114340411

NPI Information

  • NPI: 1114340411
  • Provider Name: OLIVIA NEELEY, PA-C
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 19 LESTER RD
    STATESBORO, GA
    ZIP 30458
  • Phone: (678) 481-3479

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NPI Details

Olivia Neeley, PA-C is a medical physician assistant in Statesboro, GA. Olivia Neeley, PA-C NPI is 1114340411. 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:

19 LESTER RD
STATESBORO, GA
ZIP 30458-119
Phone: (678) 481-3479

The NPI 1114340411 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/23/2014 and was last updated on 8/27/2021.

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
1363A00000XPhysician AssistantMA056713PENNSYLVANIANo
2363A00000XPhysician AssistantC05704MARYLANDNo
3363AM0700XPhysician AssistantMedicalGEORGIAYes

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: 11/21/2025

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